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

• Author / Creator

  Dorfman, Tamara L.

• 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.

• Subjects / Keywords

  • PICU
  • Pain
  • Non-Pain Related Distress
  • Systematic reviews
  • NICU
  • Para-clinical tests
  • Mechanically Ventilated
  • Sedation
  • Analgesia

• Graduation date

  Fall 2012

• Type of Item

  Thesis

• Degree

  Master of Nursing

• DOI

  https://doi.org/10.7939/R3MW9T

• License

  This thesis is made available by the University of Alberta Libraries with permission of the copyright owner solely for non-commercial purposes. This thesis, or any portion thereof, may not otherwise be copied or reproduced without the written consent of the copyright owner, except to the extent permitted by Canadian copyright law.