scholarly journals Implementation of the Behavioural Pain Scale in sedated mechanically ventilated patients in a UK ICU

Critical Care ◽  
2014 ◽  
Vol 18 (Suppl 1) ◽  
pp. P413
Author(s):  
J Jennings ◽  
R Bourne
Keyword(s):  
Pain Scale ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Behavioural Pain Scale ◽  
Ventilated Patients

scholarly journals Validation of the Brazilian version of Behavioral Pain Scale in adult sedated and mechanically ventilated patients

2017 ◽  
Vol 67 (3) ◽  
pp. 271-277
Author(s):  
Isabela Freire Azevedo-Santos ◽  
Iura Gonzalez Nogueira Alves ◽  
Manoel Luiz de Cerqueira Neto ◽  
Daniel Badauê-Passos ◽  
Valter Joviniano Santana-Filho ◽  
...  
Keyword(s):  
Pain Scale ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Brazilian Version ◽  
Behavioral Pain Scale ◽  
Ventilated Patients

Validation of a Behavioral Pain Scale in Critically Ill, Sedated, and Mechanically Ventilated Patients

2005 ◽  
Vol 101 (5) ◽  
pp. 1470-1476 ◽  
Author(s):  
Youn??s A??ssaoui ◽  
Amine Ali Zeggwagh ◽  
A??cha Zekraoui ◽  
Khalid Abidi ◽  
Redouane Abouqal
Keyword(s):  
Critically Ill ◽  
Pain Scale ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Behavioral Pain Scale ◽  
Ventilated Patients

Pain assessment using a Polish version of the Behavioral Pain Assessment Scale in sedated and mechanically ventilated patients

Ból ◽  
2016 ◽  
Vol 17 (3) ◽  
pp. 27-35
Author(s):  
Aleksandra Gutysz-Wojnicka ◽  
Dorota Ozga ◽  
Ewa Mayzner-Zawadzka
Keyword(s):  
Critical Care ◽  
Clinical Practice ◽  
Pain Assessment ◽  
Pain Scale ◽  
Adult Patients ◽  
Mechanically Ventilated ◽  
Mechanically Ventilated Patients ◽  
Polish Version ◽  
Behavioral Pain Scale ◽  
Ventilated Patients

“Gold standard” in the assessment of pain is patient’s subjective assessment by means of standardized numerical, analog-visual or verbal scales. Unconscious, sedated, mechanically ventilated patients are able to subjectively assess pain in this way. Clinical practice guidelines for the management of pain, agitation and delirium in adult patients in the intensive care unit developed by a working group of the American College of Critical Care Medicine (ACCCM) state that adult patients treated in the ICU routinely experience pain at rest and during routine care. The guidelines recommend routine monitoring of pain in all adult patients in the ICU using the Behavioral Pain Scale (BPS) or Critical-Care Pain Observation Tool (CPOT). Cultural adaptation was conducted in Poland, psychometric properties of Polish version of Behavioral Pain Scale (BPS) were evaluated. Internal consistency determined by Cronbach’s alpha amounted to 0.6883. The correlation coefficients between items of the scale and the sum score in the pain phase were in the range 0.27-0.28. The analysis of principal components confirmed that all the components of the scale respectively, the face, the upper limbs, synchronization with the respirator are one factor and explain 63.9% of the rating variation, while discriminatory accuracy of the scale was unconfirmed. The value of pain assessment using the Polish version of BPS increased significantly, also in the case of routine painless procedures, most likely due to other factors. That prevented the unambiguous interpretation of the results of the pain assessment and enforced additional data from other sources in the assessment of pain. The reason for the lack of discriminant accuracy can be vague operationalization of the scale indicators especially in the category: Face and Synchronization with the ventilator and the lack of adequate training for personnel in scale application. The aim of the study was to prepare the Polish version of Behavioral Pain Scale (BPS) with more favorable psychometric properties. Based on the analysis of the literature individual scale indicators included in the categories of Face and Synchronization with the ventilator and the scheme of their scoring were re-defined. The result of the study is modified Polish version of BPS. Conclusions: The validation process of the research tool is not a one-time process. The implementation of the scale into clinical practice is required as well as further monitoring of its reliability and validity indicators. It is necessary to implement the system of personnel training in BPS application

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