Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Pain may be inevitable; inadequate management is not. | Available online http content 12 2 142 Commentary Pain may be inevitable inadequate management is not Yoanna Skrobik Hôpital Maisonneuve Rosemont 5415 boulevard de l Assomption Montreal Quebec Canada HIT 2M4 Corresponding author Yoanna Skrobik skrobik@ Published 29 April 2008 This article is online at http content 12 2 142 2008 BioMed Central Ltd Critical Care 2008 12 142 doi cc6865 See related research by Ahlers et al. http content 12 1 R15 Abstract Assessing and managing pain in the critically ill patient is challenging. Reproducible and clinically applicable pain measurement scales have yet to be validated and ubiquitously applied in the intensive care unit setting. Critical care clinicians both physicians and nurses should thoughtfully monitor their patient s pain level periodically reassess their practice and critically evaluate the efficacy of pharmacological and nonpharmacological analgesic interventions. Pain assessment is challenging. In the critical care setting two factors interfere with such appraisals the preoccupation with the disease process and the urgency of the necessary interventions on the part of the busy caregiver on one hand and the presumed inability of the patient to communicate on the other. The recent study by Ahlers and colleagues is important because it demonstrates the latter may be largely untrue. The authors show that pain assessment can be performed in the majority of intensive care unit ICU patients -even if very ill - and that the scales available for its evaluation are useful 1 . All patients deserve to be pain free. ICU survivors rate painlessness as one of the most important 2 yet unfulfilled 3 parameters during their ICU stay. Pain assessment is performed according to acceptable standards in probably 50 of ICU patients even in the context of observational studies 4 where caregivers know their pain evaluations are being monitored. Nurses and physicians fail to enquire .
