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Indian Journal of Forensic Medicine & Toxicology
Year : 2018, Volume : 12, Issue : 4
First page : ( 184) Last page : ( 188)
Print ISSN : 0973-9122. Online ISSN : 0973-9130.
Article DOI : 10.5958/0973-9130.2018.00221.9

Pain assessment tools in children undergoing mechanical ventilation in intensive care units

Karimi Zahra1, Baraz Shahram1,*, Rashidi Mahbubeh2, Jahani Simin1, Malehi Amal Saki3

1Nursing care Research Center in Chronic Diseases, School of Nursing and Midwifery

2Dept. of Anesthesiology, Medical School

3Health Research Institute, Research Center of Thalassemia & Hemoglobinopathy, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

*Correspondence author: Dr. Shahram Baraz, Nursing care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Tel: 09166066849 Email: shahrambaraz@ajums.ac.ir

Online published on 13 December, 2018.

Abstract

Background

Pain assessment and management in children continue to remain as a problem that necessitates an investigation into aggravating factors of pediatric pain. According to the World Health Organization (WHO), children still suffer from pain in hospitals and better pain prevention, assessment, and treatment measures are required. This review study intended to investigate pain assessment tools in children in intensive care units (ICU).

Materials and Method

This review study searched relevant articles published in Ovid, Science Direct, Scopus, PubMed, Cochran, and CINAHAL databases within 2003 and 2016, using keywords of pain management, pain care, pediatric pain, and pediatric intensive care unit.

Results

Finally, 31 relevant articles and one book were found. Four major pain assessment tools for children in ICUs are FLACC, COMFORT-B, MAP, CAAC Scales.

Conclusion

Among the four major pain assessment tools, COMFORT-B is the most commonly used scale in ventilated children. It is worth noting that other tools are also effective in pediatric pain assessment and pain management in children.

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Keywords

Pain Management, Pain Care, Pediatric Pain, Pediatric Intensive Care Unit.

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