Biblioteca Hospital 12 de Octubre
López López, Candelas Murillo Pérez, María del Ara Morales Sánchez, Cindia Torrente Vela, Silvia Orejana Martín, María García Iglesias, Mónica Cuenca Solanas, Manuela Alted López, Emilio

Valoración del dolor en la aspiración de secreciones traqueales en pacientes con traumatismo craneal mediante la Escala de conductas indicadoras de dolor (ESCID). [artículo] - Enfermería intensiva, 2014 - 25(3):114-21.

Formato Vancouver:
López López C, Murillo Pérez MA, Morales Sánchez C, Torrente Vela S, Orejana Martín M, García Iglesias M et al. Valoración del dolor en la aspiración de secreciones traqueales en pacientes con traumatismo craneal mediante la Escala de conductas indicadoras de dolor (ESCID). Enferm Intensiva. 2014 Jul-Sep;25(3):114-21.

PMID: 24814281

Contiene 22 referencias

Objective: To assess pain response on patients with moderate to severe head injury before a common nursing procedure: tracheal suctioning.
Material and method: An observational longitudinal pilot study with consecutive sampling performed from September to December of 2012. Pain was assessed by a pain behavioral indicator scale 5 minutes before, meanwhile and 15 minutes after tracheal suctioning the days 1, 3 and 6 of their intensive care unit (ICU) stay, as well as a non-painful procedure: rubbing with gauze the forearm of the patient. Pseudo-analgesia and hemodynamic variables were also recorded. Descriptive analysis of the variables, inferential statistics with t-student and Anova with SPSS 17.0; statistical tests were considered significant if the critical level observed was less than 5% (P<.05).
Results: Pain was assessed on 27 patients. 82% suffered from severe head trauma and 18% moderate. The average pain value during nursing procedure day 1 was 3, 18±2.6, day 3: 2, 59±2 and day 6: 3, 94±2.3. There was a significant increase in mean pain while performing suctioning during the three days of assessment (P<.05); however no significant differences between the average pain value on the three days of the assessment (P>.05) were shown. Data for the painless procedure were significantly different on day 6 (P<.05) CONCLUSION: During tracheal suctioning in patients with head injury in the first 6 days in the ICU, objective mild-moderate pain according to ESCID scale has been detected.

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