Aplicación de la Escala de conductas indicadoras de dolor (ESCID) en el paciente con trauma grave no comunicativo y ventilación mecánica. [artículo]
Por: Alted López, Emilio [Medicina Intensiva]
| Cornejo Bauer, Clara [UCI] | Cuenca Solanas, Manuela [Medicina Intensiva] | García Iglesias, Mónica [UCI] | López López, Candelas [UCI] | Morales Sánchez, Cindia [Medicina Intensiva] | Murillo Pérez, María del Ara [UCI] | Orejana Martín, María [UCI] | Torrente Vela, Silvia [UCI].
Colaborador(es): Servicio de Medicina Intensiva.
Editor: Enfermería intensiva / Sociedad Española de Enfermería Intensiva y Unidades Coronarias, 2013Descripción: 24(4):137-44.Recursos en línea: Solicitar documento Resumen: OBJECTIVE: To assess pain in non-communicative patients with severe trauma undergoing mechanical ventilation prior to, during and after tracheal suctioning, mobilization and wound care. MATERIAL AND METHOD: A prospective and observational study from October to December 2011 was performed. Study variables were ESCID scale and monitoring of vital signs (blood pressure, heart rate, and respiratory rate). Data were gathering 5 minutes before, during and 15 minutes after the 3 procedures. The nursing evolutive report recorded pain assessment, administration and effectiveness of the analgesia. Descriptive analysis of variables included Student's T test/ANOVA for multivariate analysis with SPSS 17.0. RESULTS: A hundred eighty four observations: 46.8% tracheal suctioning, 38.5% mobilization and 14.7% wound care were performed in 29 patients. ESCID score was 0.41 before, 3.42.7 during and 0.41 after for wound care; 0.41.1 before, 3.62.2 during and 1.10.5 for tracheal suctioning; 0.51.1 before, 32.8 during and 0.20.8 after for mobilization. These increased significantly during the performance of the 3 procedures before-during/during-after: P=.000. All the hemodynamic variables were significantly modified during mobilization and tracheal suctioning: before-during/during-after: P=.000, with the exception of the cures that only affected respiratory rate. 27% of the procedures received analgesia: 9% received it before, 15% during and 3.2% after, with more analgesia being required for the wound care (33.3%). The data collected in the nursing report on the evaluation of pain/effectiveness of the analgesia showed 20.66%. CONCLUSION: An increase on the ESCID score was observed while performing the procedures.
| Tipo de ítem | Ubicación actual | Signatura | Estado | Fecha de vencimiento |
|---|---|---|---|---|
Artículo
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PC3145 (Navegar estantería) | Disponible |
Formato Vancouver:
López López C, Murillo Pérez MA, Torrente Vela S, Cornejo Bauer C, García Iglesias M, Orejana Martín M et al. Aplicación de la Escala de conductas indicadoras de dolor (ESCID) en el paciente con trauma grave no comunicativo y ventilación mecánica. Enferm Intensiva. 2013 Oct-Dec;24(4):137-44.
PMID: 24140448
Contiene 37 referencias
OBJECTIVE: To assess pain in non-communicative patients with severe trauma undergoing mechanical ventilation prior to, during and after tracheal suctioning, mobilization and wound care. MATERIAL AND METHOD: A prospective and observational study from October to December 2011 was performed. Study variables were ESCID scale and monitoring of vital signs (blood pressure, heart rate, and respiratory rate). Data were gathering 5 minutes before, during and 15 minutes after the 3 procedures. The nursing evolutive report recorded pain assessment, administration and effectiveness of the analgesia. Descriptive analysis of variables included Student's T test/ANOVA for multivariate analysis with SPSS 17.0. RESULTS: A hundred eighty four observations: 46.8% tracheal suctioning, 38.5% mobilization and 14.7% wound care were performed in 29 patients. ESCID score was 0.41 before, 3.42.7 during and 0.41 after for wound care; 0.41.1 before, 3.62.2 during and 1.10.5 for tracheal suctioning; 0.51.1 before, 32.8 during and 0.20.8 after for mobilization. These increased significantly during the performance of the 3 procedures before-during/during-after: P=.000. All the hemodynamic variables were significantly modified during mobilization and tracheal suctioning: before-during/during-after: P=.000, with the exception of the cures that only affected respiratory rate. 27% of the procedures received analgesia: 9% received it before, 15% during and 3.2% after, with more analgesia being required for the wound care (33.3%). The data collected in the nursing report on the evaluation of pain/effectiveness of the analgesia showed 20.66%. CONCLUSION: An increase on the ESCID score was observed while performing the procedures.
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