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ICU-associated pain

Key sources
The following summarized guidelines for the evaluation and management of ICU-associated pain are prepared by our editorial team based on guidelines from the Society of Critical Care Medicine (SCCM 2022; 2013).
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Guidelines

1.Screening and diagnosis

Monitoring for pain: monitor pain routinely in all adult patients hospitalized in the ICU.
B
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2.Medical management

Analgesia before invasive procedures: consider preemptive analgesic therapy and/or nonpharmacologic interventions prior to performing invasive and potentially painful procedures in adult ICU patients.
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More topics in this section

  • Management of non-neuropathic pain

  • Management of neuropathic pain

3.Therapeutic procedures

Neuraxial analgesia
Consider thoracic epidural analgesia for postoperative pain relief in patients undergoing AAA surgery.
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Consider thoracic epidural analgesia for patients with traumatic rib fractures.
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4.Specific circumstances

Pediatric patients: consider obtaining routine pain assessment via self-report using the VAS, NRS, Oucher Scale, or Wong-Baker Faces pain scale in critically ill pediatric patients aged ≥ 6 years capable of communicating.
C
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