نوع مقاله : مقاله پژوهشی
1 استادیار دانشکده پزشکی ،دانشگاه علوم پزشکی اصفهان
2 دکتری حرفه ای پزشکی عمومی، دانشگاه علوم پزشکی اصفهان
3 گروه اطفال دانشکده پزشکی دانشگاه علوم پزشکی اصفهان
عنوان مقاله [English]
Introduction: Pain assessment and control are essential parts of the treatment of children admitted to the intensive care unit. Moreover, the connection between pain and its physiological/ psychological effects is important. This study aims to evaluate the pain caused by endotracheal tube suctioning in mechanically ventilated children admitted to the intensive care unit.
Materials and methods: This study was performed on 50 hospitalized children who were under mechanical ventilation. In these patients, the pain was assessed according to FLACC pain criteria and physiologic indices before and after endotracheal tube suctioning following the standard suction protocol. Patients were divided based on the overall pain score as no pain, mild pain, moderate pain, and severe pain.
Results: In summary, the average age of the patients was approximately 34 months, and 70% (n = 35) were male. Respiratory diseases (30%, n =15) were the most common initial diagnosis. According to FLACC pain criteria, the frequency and severity of the pain increased after endotracheal tube suctioning (p-value <0.05). The relation between increasing pulse rate, respiration rate, and systolic/diastolic blood pressure with enhancing distribution and pain level after suction is meaningful (P-value <0.001). Also, the patients with higher pain scores received lower doses of analgesic drugs by continuous infusion (P-value <0.05).
Conclusion: Endotracheal tube suctioning is a painful intervention and patients are distressed following it. Therefore, pain assessment methods and pharmacological and non-pharmacological methods to control the resulting pain are recommended.