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Permanent link (DOI): https://doi.org/10.7939/R3MW9T

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Instruments for Scoring Pain, Non-Pain Related Distress, Analgesia, and Sedation in Pediatric Mechanically Ventilated Patients and their Efficacy and Effectiveness in Practice: A Systematic Review Open Access

Descriptions

Other title
Subject/Keyword
Systematic Review
PICU
Pain
Non-Pain Related Distress
Mechanically Ventilated
NICU
Sedation
Analgesia
Para-clinical tests
Type of item
Thesis
Degree grantor
University of Alberta
Author or creator
Dorfman, Tamara L.
Supervisor and department
Rempel, Gwen (Faculty of Nursing)
Examining committee member and department
Hartling, Lisa (Department of Pediatrics)
Scott-Findlay, Shannon (Faculty of Nursing)
Department
Faculty of Nursing
Specialization

Date accepted
2012-09-26T15:21:33Z
Graduation date
2012-09
Degree
Master of Nursing
Degree level
Master's
Abstract
Objective pain and sedation assessment scales to standardize measures of distress in mechanically ventilated pediatric patients are increasingly available, but few have been evaluated for efficacy and effectiveness in this population. The purpose of paper one was to identify and evaluate available instruments appropriate for measuring physiological and behavioural cues of pain, non-pain related distress, and adequacy of sedation and analgesia in mechanically ventilated PICU or NICU patients. Twenty-eight articles were included in this systematic review, identifying 17 instruments. Three, additional, articles were found examining the efficacy and effectiveness of two of these scales in practice. In paper two, para-clinical tests used in the assessment of sedation (i.e. Bispectral Index Scale, auditory-evoked potential index, and skin conductance) were compared with three of the instruments for measuring sedation from paper one. Nine articles were identified in this systematic review and a correlation was found between the two methods for assessing sedation.
Language
English
DOI
doi:10.7939/R3MW9T
Rights
Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. Where the thesis is converted to, or otherwise made available in digital form, the University of Alberta will advise potential users of the thesis of these terms. The author reserves all other publication and other rights in association with the copyright in the thesis and, except as herein before provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.
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