Dolor durante la aspiración traqueal en pacientes bajo ventilación mecánica con trauma craneoencefálico.: Publicada en: Rev Dor. São Paulo, 2017 oct-dec;18(4):332-7. Traducción Dr. Ariel Francis.

Caíque Jordan Nunes Riveiro; Daílson Silva Bezerra; Alanna Gleice Carvalho Fontes Lima; Míriam Geisa das Virgens Menezes; Maria do Carmo de Oliveira Ribeiro

doi:10.47924/neurotarget2018129

Authors

Caíque Jordan Nunes Riveiro Universidad Federal de Sergipe, Programa de Postgrado en Ciencias de la Salud, Aracaju, SE, Brasil.
Daílson Silva Bezerra Universidad Federal de Sergipe, Facultad de Medicina, Aracaju, SE, Brasil.
Alanna Gleice Carvalho Fontes Lima Universidad Federal de Sergipe, Programa de Postgrado en Ciencias de la Salud, Aracaju, SE, Brasil.
Míriam Geisa das Virgens Menezes Universidad Federal de Sergipe, Programa de Postrado en Enfermería, Aracaju, SE, Brasil.
Maria do Carmo de Oliveira Ribeiro Universidad Federal de Sergipe, Programa de Postrado en Enfermería, Aracaju, SE, Brasil.

DOI:

https://doi.org/10.47924/neurotarget2018129

Keywords:

Nociceptive pain, Pain assessment, Sedation, Suction, Traumatic brain injury

Abstract

Background and objectives: Victims of traumatic brain injury, in intensive care units, frequently experience pain. Tracheal aspiration is a procedure with nociceptive potential routinely carried out in these patients. The objective of this study was to evaluate the effectiveness of tracheal aspiration in patients with traumatic brain injury undergoing mechanical ventilation.
Methods: Prospective study conducted in two intensive care units of a general public hospital in Aracaju, Sergipe, Brazil. During three days, 300 observations were carried out in 20 victims of traumatic brain injury. The pain was assessed using the Brazilian version of the Behavioral Pain Scale and the physiological parameters of heart rate and blood pressure (systolic and diastolic). The sedation depth was measured by Ramsay scores and the Richmond Agitation Sedation Scale. The Friedman test, ANOVA, and the Bonferroni post hoc test were used to verify the existence any differences in pain scores and physiological parameters at the different moments of the evaluation. A 5% statistical significance was accepted.
Results: The sample was predominantly comprised of men, young, from the interior of the State, with no comorbidities and with severe traumatic brain injury. Fentanyl and midazolam were the most used drugs for sedation and analgesia. There was a high prevalence of pain (70.0-85.5%). The pain scores were significantly higher during the tracheal aspiration, and the physiological parameters did not present any statistically significant increase.
Conclusion: Valid and trustworthy behavioral scales, as the B havioral Pain Scale, should be incorporated into the routine of the intensive care units to guide analgesia and sedation management, especially to prevent suffering during these painful procedures.

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