Article
Education & Educational Research
Ali Sarfraz Siddiqui, Aliya Ahmed, Azhar Rehman, Gauhar Afshan
Summary: This study aimed to assess the baseline knowledge and practice of pain assessment in ICU patients, as well as the learning effect of a educational course. The results showed that the participants had improved average scores, with participants from metropolitan cities showing a significant improvement.
BMC MEDICAL EDUCATION
(2023)
Article
Critical Care Medicine
Celine Gelinas, Melanie Berube, Kathleen A. Puntillo, Madalina Boitor, Melissa Richard-Lalonde, Francis Bernard, Virginie Williams, Aaron M. Joffe, Craig Steiner, Rebekah Marsh, Louise Rose, Craig M. Dale, Darina M. Tsoller, Manon Choiniere, David L. Streiner
Summary: The study showed that the CPOT-Neuro is valid for brain-injured ICU patients across different levels of consciousness, with no significant differences in CPOT-Neuro scores between LOC groups. Additionally, the tool demonstrated moderate correlations with self-reported pain intensity.
Article
Orthopedics
Chenkai Li, You Du, Shengru Wang, Jianguo Zhang, Yang Yang, Yiwei Zhao, Haoran Zhang, Xiaohan Ye
Summary: This study aimed to identify risk factors for postoperative ICU admission following correction surgery for adult spinal deformity. Age, body weight, neuromuscular spinal deformity, respiratory disease, ASA classification, scoliosis and kyphosis Cobb angles, as well as the number of fused segments, were found to be independently associated with ICU admission. Patients in the ICU group had a higher incidence of complications, longer hospital stay, and higher medical costs.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Pediatrics
Chelsea M. Torres, Andrew S. Geneslaw, Leanne Svoboda, Arthur J. Smerling, Katherine R. Schlosser Metitiri
Summary: This study evaluated the relationship between intravenous acetaminophen and opioid exposure after cardiac surgery. Comparing before and after the implementation of a standardized pain pathway, it was found that opioid exposure decreased (0.38 milligram per kilogram of morphine equivalents [IQR 0.10-0.81] vs 0.26 milligram per kilogram of morphine equivalents [0.09-0.56], P =.01) and acetaminophen exposure increased (3 [2-4] vs 4 [4-5] doses, P <.001).
JOURNAL OF PEDIATRICS
(2023)
Review
Clinical Neurology
Slavica Kvolik, Nenad Koruga, Sonja Skiljic
Summary: Acute pain management is crucial in neurosurgical patients. The use of opioids for pain treatment may lead to various side effects, hence the need for reducing opioid use and implementing non-opioid analgesics and adjuvants as part of a multimodal approach.
FRONTIERS IN NEUROLOGY
(2022)
Article
Nursing
Brita F. Olsen, Berit T. Valeberg, Morten Jacobsen, Milada C. Smastuen, Kathleen Puntillo, Tone Rustoen
Summary: This study assessed the occurrence of pain in ICU patients during their first 6 days and found that patients with the ability to self-report pain were more likely to experience pain. Multiple logistic regression models were used to analyze predictors associated with pain occurrence.
Article
Surgery
Tyler M. Loftus, Matthew Ruppert, Tezcan A. Ozrazgat-Baslanti, Jeremy Balch, Benjamin Shickel, Die A. Hu, Philip J. Efron, Patrick R. Tighe, William Hogan, Parisa R. Rashidi, Gilbert Upchurch Jr, Azra Bihorac
Summary: Objective: To test the hypothesis that postoperative ICU admission for low-acuity surgical patients is associated with lower value of care compared with ward admission. Methods: A longitudinal cohort study was conducted where postoperative ICU admissions were classified as overtriaged or appropriately triaged. Results: The results showed that overtriaged admissions had increased total costs, no improvements in outcomes, and received low-value care.
Review
Medicine, General & Internal
Na-Na Guo, Hong-Liang Wang, Ming-Yan Zhao, Jian-Guo Li, Hai-Tao Liu, Ting-Xin Zhang, Xin-Yu Zhang, Yi-Jun Chu, Kai-Jiang Yu, Chang-Song Wang
Summary: The management of pain in ICU patients requires multidisciplinary cooperation, training, effective pain relief, and improvement of patients' quality of life. Additional studies are needed to address procedural pain management in the ICU.
WORLD JOURNAL OF CLINICAL CASES
(2022)
Article
Clinical Neurology
Justus August Schweppe, Anna-Laura Potthoff, Muriel Heimann, Stefan Felix Ehrentraut, Valeri Borger, Felix Lehmann, Christina Schaub, Christian Bode, Christian Putensen, Ulrich Herrlinger, Hartmut Vatter, Niklas Schaefer, Patrick Schuss, Matthias Schneider
Summary: Postoperative ICU monitoring is common after neurosurgical resection of brain metastasis. Unplanned readmission to the ICU may significantly impact patient prognosis. This study aimed to identify risk factors for unplanned ICU readmission in order to improve patient outcomes.
NEUROSURGICAL REVIEW
(2023)
Article
Critical Care Medicine
Joanna L. Stollings, Kelli A. Rumbaugh, Li Wang, Christina J. Hayhurst, E. Wesley Ely, Christopher G. Hughes
Summary: The purpose of this study was to determine the correlation between the Numeric Rating Scale (NRS) and Critical-Care Pain Observation Tool (CPOT) and investigate whether clinical factors modified their relationship. The results showed that the NRS and CPOT had a Spearman correlation coefficient of 0.56 in intensive care unit patients. Factors such as delirium and decreased arousal level modified the relationship between the NRS and CPOT. Self-reported and behavioral pain assessments cannot be used interchangeably in critically ill adults.
JOURNAL OF INTENSIVE CARE MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Andrew M. Young, Raymond J. Strobel, Ashley Zhang, Emily Kaplan, Evan Rotar, Raza Ahmad, Leora Yarboro, Hunter Mehaffey, Kenan Yount, Matthew Hulse, Nicholas R. Teman
Summary: A study found that transferring cardiac postoperative patients from the intensive care unit (ICU) to the acute care floor during off-hours increased the risk of complications, readmission to the ICU, and mortality.
ANNALS OF THORACIC SURGERY
(2023)
Article
Multidisciplinary Sciences
Eveline H. J. J. Mestrom, Tom H. G. F. Bakkes, Nassim Ourahou, Hendrikus H. M. Korsten, Paulo de Andrade Serra, Leon Montenij, Massimo Mischi, Simona Turco, R. Arthur Bouwman
Summary: Currently, there is no evidence-based criteria for decision making in the post anesthesia care unit (PACU). This study aims to assess whether including intra- and postoperative factors improves the prediction of postoperative patient deterioration and unanticipated ICU admissions.
Article
Critical Care Medicine
Driss Laghlam, Cecile Naudin, Lucas Coroyer, Vincent Aidan, Julien Malvy, Ghilas Rahoual, Philippe Estagnasie, Pierre Squara
Summary: Pain and anxiety management in the intensive care unit remains challenging. This study compared the use of virtual reality (VR) and inhaled equimolar mixture of N2 (Kalinox (R)) during the removal of chest drains after cardiac surgery. Results showed that VR did not meet statistical requirements for non-inferiority compared to Kalinox (R) in managing pain and anxiety, based on the Analgesia/Nociception Index (ANI) and self-reported pain and anxiety levels. Further studies are needed to determine the role of VR in overall pain and anxiety management in intensive care units.
ANNALS OF INTENSIVE CARE
(2021)
Article
Cardiac & Cardiovascular Systems
Karishma Priyadarshani Ramlakhan, Maaike van der Bie, Corstiaan A. den Uil, Eric A. Dubois, Jolien W. Roos-Hesselink
Summary: This study investigates non-elective ICU admissions in patients with adult congenital heart disease (ACHD). The results show that ACHD patients have lower short-term and total mortality compared with non-ACHD patients, but higher long-term mortality than expected.
Article
Anesthesiology
Hiroyuki Ohbe, Hiroki Matsui, Ryosuke Kumazawa, Hideo Yasunaga
Summary: This study found that postoperative critical care in the intensive care unit was associated with lower in-hospital mortality compared to the high dependency care unit for patients undergoing medium-risk and high-risk emergency surgery.
BRITISH JOURNAL OF ANAESTHESIA
(2022)
Review
Health Care Sciences & Services
Melissa Richard-Lalonde, Celine Gelinas, Madalina Boitor, Emilie Gosselin, Nancy Feeley, Sylvie Cossette, Linda L. Chlan
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2020)
Article
Oncology
Lauren Rudy, Christine Maheu, Annett Korner, Sophie Lebel, Celine Gelinas
Article
Critical Care Medicine
Carmen Mabel Arroyo-Novoa, Milagros Figueroa-Ramos, Kathleen A. Puntillo, Celine Gelinas
AMERICAN JOURNAL OF CRITICAL CARE
(2020)
Review
Anesthesiology
Melanie Berube, Geraldine Martorella, Caroline Cote, Celine Gelinas, Nancy Feeley, Manon Choiniere, Stefan Parent, David L. Streiner
Summary: This systematic review and meta-analysis found that psychological interventions did not have a significant impact on pain intensity, but showed moderate significant effects on disability at 12 months and small significant effects on coping with pain at 3 months. While the results should be interpreted cautiously due to trial limitations, more rigorous trials are needed in the future to confirm the efficacy of psychological interventions in preventing chronic pain.
CLINICAL JOURNAL OF PAIN
(2021)
Article
Management
Isabelle Caron, Celine Gelinas, Johanne Boileau, Valerie Frunchak, Ann Casey, Keith Hurst
Summary: The study tested the use of England's Safer Nursing Care Tool in a Canadian hospital, showing that the tool can be applied in this setting. Differences were found in bed occupancy and patient dependency/acuity between UK and Canadian wards, but overall staff activity was comparable.
JOURNAL OF NURSING MANAGEMENT
(2021)
Article
Anesthesiology
Jenna L. Morris, Francis Bernard, Melanie Berube, Jean-Nicolas Dube, Julie Houle, Denny Laporta, Suzanne N. Morin, Marc Perreault, David Williamson, Celine Gelinas
Summary: The study investigated the practices of pain assessment and management in five Quebec ICUs and found suboptimal documentation of pain assessment, especially for patients unable to self-report or receiving higher opioid doses. The study emphasizes the importance of implementing tools to optimize pain assessment and documentation.
CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
(2021)
Article
Management
Melanie Lavoie-Tremblay, Celine Gelinas, Thalia Aube, Eric Tchouaket, Dominique Tremblay, Marie-Pierre Gagnon, Jose Cote
Summary: The study found that nurses caring for COVID-19 patients were more likely to experience chronic fatigue, poor quality of care, lower work satisfaction, and higher intention to leave their organisation. Poorly prepared and overwhelmed nurses showed higher turnover intention compared to those well prepared and in control.
JOURNAL OF NURSING MANAGEMENT
(2022)
Article
Health Care Sciences & Services
Geraldine Martorella, Adam W. Hanley, Scott M. Pickett, Celine Gelinas
Summary: This study aims to pilot test a 4-week-long web-based MBCT intervention for adults following discharge from the hospital to assess its acceptability and feasibility, as well as examine its preliminary effects on pain intensity, pain interference with activities, opioid use, pain acceptance, and catastrophic thoughts in the 6 months following surgery.
JMIR RESEARCH PROTOCOLS
(2021)
Review
Anesthesiology
T. Shiva Shahiri, Philippe Richebe, Melissa Richard-Lalonde, Celine Gelinas
Summary: This study examined the validation strategies and results of using ANI and NOL for nociception assessment in anesthetized patients, confirming the effectiveness of both technologies in detecting nociceptive stimuli.
JOURNAL OF CLINICAL MONITORING AND COMPUTING
(2022)
Article
Clinical Neurology
Celine Gelinas, Shiva T. Shahiri, Melissa Richard-Lalonde, Denny Laporta, Jean-Francois Morin, Madalina Boitor, Catherine E. Ferland, Patricia Bourgault, Philippe Richebe
Summary: The study aimed to explore the use of the Nociception Level (NOL) index for pain assessment in postoperative awake patients after cardiac surgery during non-nociceptive and nociceptive procedures in the ICU. The NOL index was found to be able to discriminate between non-nociceptive and nociceptive procedures and was associated with self-reported pain, but showed only modest performance in detecting pain in this sample. Validation testing of the NOL in a more diverse sample of ICU patients is needed.
JOURNAL OF PAIN RESEARCH
(2021)
Article
Health Care Sciences & Services
Melissa Richard-Lalonde, Nancy Feeley, Sylvie Cossette, Linda L. Chlan, Celine Gelinas
Summary: This study aims to evaluate the acceptability and feasibility of a patient-oriented music intervention (POMI) to reduce pain in ICU patients. A single-blind 2x2 crossover pilot randomized controlled trial will be conducted, and data will be collected on the intervention's feasibility and pain scores. The study began recruitment and data collection in March 2022.
JMIR RESEARCH PROTOCOLS
(2023)
Article
Clinical Neurology
Mandy M. J. Li, Don Daniel Ocay, Cynthia L. Larche, Kelsey Vickers, Neil Saran, Jean A. Ouellet, Celine Gelinas, Catherine E. Ferland
Summary: This study aimed to validate the CPOT for use with pediatric patients able to self-report and undergoing posterior spinal fusion surgery. Results showed that CPOT scores were significantly higher during the nociceptive procedure compared to the nonnociceptive procedure. There was a moderate positive correlation between CPOT scores and patients' self-reported pain intensity during the nociceptive procedure. These findings suggest that the CPOT may be a valid tool to detect pain in pediatric patients in the acute postoperative inpatient care unit after posterior spinal fusion.
CANADIAN JOURNAL OF PAIN-REVUE CANADIENNE DE LA DOULEUR
(2023)
Article
Nursing
Michel Dore, Steve Provencher, Paul Poirier, Celine Gelinas, James K. Stoller, Elaine Machado de Oliveira, Maria Cecilia Gallani
Summary: The study validated the French-Canadian version of the modified dyspnea index (MDI) among patients with pulmonary arterial hypertension (PAH) and interstitial lung disease (ILD), showing low correlations with pulmonary function tests and physical activity, moderate correlation with physical capacity, and high correlation with the physical dimension of quality of life.
JOURNAL OF NURSING MEASUREMENT
(2021)
Article
Critical Care Medicine
Celine Gelinas, Melanie Berube, Kathleen A. Puntillo, Madalina Boitor, Melissa Richard-Lalonde, Francis Bernard, Virginie Williams, Aaron M. Joffe, Craig Steiner, Rebekah Marsh, Louise Rose, Craig M. Dale, Darina M. Tsoller, Manon Choiniere, David L. Streiner
Summary: The study showed that the CPOT-Neuro is valid for brain-injured ICU patients across different levels of consciousness, with no significant differences in CPOT-Neuro scores between LOC groups. Additionally, the tool demonstrated moderate correlations with self-reported pain intensity.
Review
Critical Care Medicine
Gerald Chanques, Jean-Michel Constantin, John W. Devlin, E. Wesley Ely, Gilles L. Fraser, Celine Gelinas, Timothy D. Girard, Claude Guerin, Matthieu Jabaudon, Samir Jaber, Sangeeta Mehta, Thomas Langer, Michael J. Murray, Pratik Pandharipande, Bhakti Patel, Jean-Francois Payen, Kathleen Puntillo, Bram Rochwerg, Yahya Shehabi, Thomas Strom, Hanne Tanghus Olsen, John P. Kress
INTENSIVE CARE MEDICINE
(2020)
Review
Nursing
Guanjie Chen, Xiaoqing Li, Xuezhu Li, Songqiao Liu, Jianfeng Xie
Summary: This study aimed to describe the current situation of mucosal membrane pressure injury in patients in the intensive care unit. The included studies showed that the incidence and prevalence of mucosal membrane pressure injury vary widely, and specific risk assessment tools and standardized staging criteria need further development. The risk factors for mucosal membrane pressure injury involve multiple aspects and require further verification.
INTENSIVE AND CRITICAL CARE NURSING
(2024)
Letter
Nursing
[Anonymous]
INTENSIVE AND CRITICAL CARE NURSING
(2024)
Article
Nursing
Yen-Ching Chuang, Tao Miao, Fengmin Cheng, Yanjiao Wang, Ching-Wen Chien, Ping Tao, Linlin Kang
Summary: This study developed an interpretive model using the rough set approach to assess the risk level of pressure injuries in adult inpatients and identified critical risk factors associated with these injuries. The prediction model established demonstrated reliable predictive capabilities and can help nurses improve work efficiency by focusing on high-risk and severe-risk rules.
INTENSIVE AND CRITICAL CARE NURSING
(2024)
Article
Nursing
Jin Zhang, Wanjun Liu, Wenyan Xiao, Yu Liu, Tianfeng Hua, Min Yang
Summary: This study developed a data-driven blood culture classification model using machine learning and cluster analysis to optimize the management and treatment of ICU patients. The results showed that different blood culture clusters had different prognoses, blood culture outcomes, and suggested different durations of antibiotic treatment.
INTENSIVE AND CRITICAL CARE NURSING
(2024)
Letter
Nursing
Ezinne O. Igwe, Pauline Ding, Jessica Nealon, Karen Charlton, Victoria Traynor
INTENSIVE AND CRITICAL CARE NURSING
(2024)
Article
Nursing
Laura Allum, Ella Terblanche, Natalie Pattison, Bronwen Connolly, Louise Rose
Summary: This study identified 36 actionable processes of care from interviews with intensive care staff, with an emphasis on enhancing patient autonomy through optimizing communication and involvement in decision-making, participation of family, and continuity of staff and care plans.
INTENSIVE AND CRITICAL CARE NURSING
(2024)
Article
Nursing
Fatma Azizoglu, Banu Terzi
Summary: This study identifies and visualizes global trends in the research on pressure injuries, prevention, and measurement tools in intensive care units. Through bibliometric analysis, the study reveals that the most commonly used keywords are pressure injury, pressure ulcer, critical care, pressure ulcers, intensive care unit, and pressure injuries.
INTENSIVE AND CRITICAL CARE NURSING
(2024)
Article
Nursing
Adrianna Lorraine Watson
Summary: This study explored the meaning behind professional identity in intensive care nurses who cared for patients with COVID-19. The findings suggest that professional identity is evolving for nurses as they care for patients in the intensive care and that evolution affects nursing professionals' quality of life. The implications for clinical practice include enhancing nurse retention and fulfillment by recognizing and nurturing nurses' strong professional identity.
INTENSIVE AND CRITICAL CARE NURSING
(2024)
Review
Nursing
Donghui Jia, Hengyang Wang, Qian Wang, Wenrui Li, Xuhong Lan, Hongfang Zhou, Zhigang Zhang
Summary: This meta-analysis assessed the predictive value of the rapid shallow breathing index (RSBI) for extubation outcomes. The results showed moderate accuracy, but poor sensitivity and specificity for RSBI in predicting successful extubation. Future studies should explore the combination of RSBI with other indicators and clinical experience to improve the success rate of extubation.
INTENSIVE AND CRITICAL CARE NURSING
(2024)
Article
Nursing
Melissa J. Bloomer, Eva Yuen, Ruth Williams, Alison M. Hutchinson
Summary: The COVID-19 pandemic led to strict restrictions on hospital visitation, which had a profound impact on family relationships during critical illness at the end of life in the intensive care unit. A family-centred approach to care, prioritizing and protecting family connections, is crucial in this context.
INTENSIVE AND CRITICAL CARE NURSING
(2024)
Article
Nursing
Frances Fengzhi Lin, Niki Murphy, Angelly Martinez, Andrea P. Marshall
Summary: This study investigated the facilitators and barriers to evidence-based central venous access device care in the adult intensive care setting. The results identified work structures, processes to optimize care quality, and factors influencing staff behavior as the key factors. Facilitators to optimal care included explicit language use, work system integration, research evidence dissemination, audit, and feedback. However, there was inconsistency in practices such as audit, feedback, and patient participation.
INTENSIVE AND CRITICAL CARE NURSING
(2024)
