Evidence map›Paper›PMID 35220551›Full record

ReviewPain and therapy2022

Pain in Intensive Care: A Narrative Review.

Vincenzo Pota, Francesco Coppolino, Alfonso Barbarisi, Maria Beatrice Passavanti, Caterina Aurilio, Pasquale Sansone, Maria Caterina Pace

Open access · goldAbstract readReview
In one paragraph

Review in Pain and therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Observational
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Challenges of the Regional Anesthetic Techniques in Intensive Care Units - A Narrative Review.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2024
    Review
  16. Article
  17. Effectiveness of Nurse-led Interventions on Pain and Complications among Patients Admitted to Intensive Care Unit: A Quasi-experimental study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Vincenzo PotaDepartment of Women, Child, General and Specialistic Surgery, University of Campania "L. Vanvitelli", Naples, Italy. vincenzo.pota@unicampania.it.ORCID http://orcid.org/0000-0001-9999-3388
Francesco CoppolinoDepartment of Women, Child, General and Specialistic Surgery, University of Campania "L. Vanvitelli", Naples, Italy.
Alfonso BarbarisiDepartment of Translational Medical Science, Telematic University Pegaso, Naples, Italy.
Maria Beatrice PassavantiDepartment of Women, Child, General and Specialistic Surgery, University of Campania "L. Vanvitelli", Naples, Italy.
Caterina AurilioDepartment of Women, Child, General and Specialistic Surgery, University of Campania "L. Vanvitelli", Naples, Italy.
Pasquale SansoneDepartment of Women, Child, General and Specialistic Surgery, University of Campania "L. Vanvitelli", Naples, Italy.
Maria Caterina PaceDepartment of Women, Child, General and Specialistic Surgery, University of Campania "L. Vanvitelli", Naples, Italy.
University of Campania "Luigi Vanvitelli" · ITPegaso University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

All critically ill adult patients in intensive care units (ICU) typically experience pain. Critically ill adults suffer pain of different intensities. It depends on individual characteristics, specific procedural interventions, and underlying diseases. Inadequate management of acute pain is a risk factor for the emergence of chronic pain, where the incidence is up to 33% into the ICU survivor population. For the management of pain, agitation, and delirium, several coexisting clinical practice guidelines have been published. The first problem is that the patient recovered in intensive care unit should not be able to communicate its pain state. Opioids are the analgesic drugs of choice in critically ill patients with non-neuropathic pain. All intravenous opioids have the same effects, respecting the equianalgesic table. Observational research has shown that opioids are the main analgesic treatment in over 80% of mechanically ventilated patients. It is interesting that opioid consumption in an ICU and the memory of painful experience are linked to the development of post-traumatic stress disorder after ICU discharge. In order to reduce the side effects and maintain analgesia, it is useful to associate adjuvant medications with opioids. An opportunity to improve patients' experience in an ICU is to manage pain through multimodal approaches.

Indexed as

Acute painAssessmentDeliriumIntensive careProcedural pain

Identifiers

PMID35220551
PMCPMC9098741
OpenAlexW4214528383

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.