Effect of pain control algorithm on pain intensity and duration of patients’ connection to the ventilator

authors:

avatar zahra karimi , avatar Shahram Molavynejad ORCID , * , avatar Simin Jahani , avatar Mahbubeh Rashidi , avatar Amal Saki Malehi

Koomesh: Vol.23, issue 5; 574-581
published online: December 02, 2021
article type: Research Article
received: April 01, 2020
accepted: April 02, 2021

how to cite: karimi Z, Molavynejad S, Jahani S, Rashidi M, Saki Malehi A. Effect of pain control algorithm on pain intensity and duration of patients’ connection to the ventilator. koomesh. 2021;23(5):e153289. 

Abstract

Introduction: Patients undergoing mechanical ventilation cannot self-report pain because of intubation, altered levels of consciousness, and high doses of sedative agents. Therefore, inadequate pain management increases the duration of connection to the ventilator. The aim of this study was to evaluate the effect of pain control algorithm on pain intensity and duration of patients;#39 connection to ventilator. Materials and Methods: This clinical trial was conducted on 396 patients undergoing mechanical ventilation conveniently recruited from intensive care units of teaching hospitals affiliated to Ahvaz Jundishapur University of Medical Sciences (Ahvaz, Iran) from August 2017 to June 2016. Participants were allocated to the intervention (n=198) and control (n=198) groups through permuted block randomization. Block size was four. In the experimental group, pain intensity was measured daily for 10 days using pain behavioral instrument and pain relief was performed based on pain control algorithm. In addition, the two groups were examined daily by a researcher-made checklist for weaning criteria from the ventilator for 10 days. Results: In the experimental group, pain intensity started to decrease from the first day of intervention (P

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