Pain Measurement and Pain Management in the Intensive Care Unit(ICU)

Critically Ill Patients Clinical Trial

— PIJNICU2  

Official title:

Pain Measurement and Pain Management in the ICU

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00773045
• Other study ID #: PIJNICU2/Z06.11
• Status: Completed
• Phase: N/A
• First received: October 15, 2008
• Last updated: October 15, 2008
• Start date: April 2006
• Est. completion date: October 2007

Study information

• Verified date: October 2008
• Source: St. Antonius Hospital
• Contact: n/a
• Is FDA regulated: No
• Health authority: Netherlands: Medical Ethics Review Committee (METC)
• Study type: Observational

Clinical Trial Summary

The purpose of this study is to evaluate the effect of a pain training program and systematic measurement of pain scores on actual pain levels and the use of analgesics in critically ill patients.

Description:

Systematic evaluation of pain, though still not common practice in all ICUs, is recommended in clinical practice guidelines for optimal pain management. Pain is a frequently experienced problem in patients in the Intensive Care Unit(ICU). In search of literature to support the need for introduction of a pain management system and to train the entire health staff in our department little information was found concerning the effects of pain training and pain management systems in the ICU. The small number of available studies may be explained by the difficulty of systematic pain measurement in ICU patients, mainly due to the inability to communicate effectively with these patients.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 190
• Est. completion date: October 2007
• Est. primary completion date: August 2006
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• All patients admitted to the ICU of the St. Antonius hospital, >18 years old.

Exclusion Criteria:

• Patients who are suspected to be brain-dead

Study Design

Time Perspective: Prospective

Related Conditions & MeSH terms

• Critical Illness
• Critically Ill Patients

Intervention

Other:
• A Pain training program and pain measurement
Comparing patients treated with and without analgesia and sedation protocol

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
St. Antonius Hospital

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain scores using the numerical rating scale, rated by the attending nurse and by the patient if possible.		3 times a day	No
Secondary	Dose of all pain medication (morphine, paracetamol) per patient		24 hr	No
Secondary	Length of stay in the ICU		ICU stay	No
Secondary	Pneumonia		ICU stay	No
Secondary	30 day Mortality		within 30 days	Yes