000			02630na a2200277 4500
999			_c3145 _d3145
003			PC3145
005			20200428062727.0
008			130622s2013 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aspa
100			_aAlted López, Emilio _91090 _eMedicina Intensiva
100			_92620 _aCornejo Bauer, Clara _eUCI
100			_aCuenca Solanas, Manuela _91293 _eMedicina Intensiva
100			_91291 _aGarcía Iglesias, Mónica _eUCI
100			_aLópez López, Candelas _91286 _eUCI
100			_aMorales Sánchez, Cindia _91289 _eMedicina Intensiva
100			_aMurillo Pérez, María del Ara _91285 _eUCI
100			_aOrejana Martín, María _91290 _eUCI
100			_aTorrente Vela, Silvia _91287 _eUCI
245	0	0	_aAplicación de la Escala de conductas indicadoras de dolor (ESCID) en el paciente con trauma grave no comunicativo y ventilación mecánica. _h[artículo]
260			_c2013 _bEnfermería intensiva / Sociedad Española de Enfermería Intensiva y Unidades Coronarias,
300			_a24(4):137-44.
500			_aFormato 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.
501			_aPMID: 24140448
504			_aContiene 37 referencias
520			_aOBJECTIVE: 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.
710			_967 _aServicio de Medicina Intensiva
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/3/pc3145.pdf _ySolicitar documento
942			_n0 _2ddc _cART