Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-848d4c4894-nmvwc Total loading time: 0 Render date: 2024-06-25T23:20:08.422Z Has data issue: false hasContentIssue false

Chapter 33 - Acute Pain Management in the ICU

Published online by Cambridge University Press:  24 May 2023

By
Farees Hyatali ,
Franciscka Macieiski ,
Harish Bangalore Siddaiah  and
Alan David Kaye
Edited by
Alan David Kaye  and
Richard D. Urman
Alan David Kaye
Affiliation:
Louisiana State University School of Medicine
Richard D. Urman
Affiliation:
Brigham and Women’s Hospital, Boston
Get access

Summary

Pain in the critically ill patient is often underreported and misdiagnosed. Contributing factors include such patients not being able to express themselves due to invasive respiratory support or altered mental function. Pain management in the intensive care unit (ICU) can be challenging due to the severity of illness of critically ill patients. The benefits and risks of pain management techniques and medications should be weighed against the severity of the patient’s illness and their comorbidities, as well as the side effects of each technique and medication.

Type
Chapter
Information
Cambridge Handbook of Anesthesiology , pp. 497 - 502
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Further Reading

Kaushal, B, Chauhan, S, Saini, K, et al. Comparison of the efficacy of ultrasound-guided serratus anterior plane block, pectoral nerves II block, and intercostal nerve block for the management of postoperative thoracotomy pain after pediatric cardiac surgery. J Cardiothorac Vasc Anesth. 2019;33(2):418–25.CrossRefGoogle ScholarPubMed
Yalamuri, S, Klinger, RY, Bullock, WM, Glower, DD, Bottiger, BA, Gadsden, JC. Pectoral fascial (PECS) I and II blocks as rescue analgesia in a patient undergoing minimally invasive cardiac surgery. Reg Anesth Pain Med. 2017;42(6):764–6.Google Scholar
Fujii, S, Roche, M, Jones, PM, Vissa, D, Bainbridge, D, Zhou, JR. Transversus thoracis muscle plane block in cardiac surgery: a pilot feasibility study. Reg Anesth Pain Med. 2019;44(5):556–60.Google ScholarPubMed
Krishna, SN, Chauhan, S, Bhoi, D, et al. Bilateral erector spinae plane block for acute post-surgical pain in adult cardiac surgical patients: a randomized controlled trial. J Cardiothorac Vasc Anesth. 2018;33(2):368–75.Google ScholarPubMed
Alford, DP, Compton, P, Samet, JH. Acute pain management for patients receiving maintenance methadone or buprenorphine therapy. Ann Intern Med. 2006;144(2):127–34. [Published correction appears in: Ann Intern Med. 2006;144(6):460.]CrossRefGoogle ScholarPubMed
Weibel, S, Jelting, Y, Afshari, A, et al. Patient-controlled analgesia with remifentanil versus alternative parenteral methods for pain management in labour. Cochrane Database Syst Rev. 2017;4(4):CD011989.Google Scholar
Budd, K. The role of tramadol in acute pain management. Acute Pain. 1999;2(4):189–96.Google Scholar
Ho, KY, Gwee, KA, Cheng, YK, Yoon, KH, Hee, HT, Omar, AR. Nonsteroidal anti-inflammatory drugs in chronic pain: implications of new data for clinical practice. J Pain Res. 2018;11:1937–48.Google Scholar
Schwenk, ES, Viscusi, ER, Buvanendran, A, et al. Consensus guidelines on the use of intravenous ketamine infusions for acute pain management from the American Society of Regional Anesthesia and Pain Medicine, the American Academy of Pain Medicine, and the American Society of Anesthesiologists. Reg Anesth Pain Med. 2018;43(5):456–66.Google Scholar
Dunn, LK, Durieux, ME. Perioperative use of intravenous lidocaine. Anesthesiology. 2017;126(4):729–37.CrossRefGoogle ScholarPubMed
Jung, S, Ottestad, E, Aggarwal, A, Flood, P, Nikitenko, V. 982: Intravenous lidocaine infusion for management of pain in the intensive care unit. Crit Care Med. 2020;48(1):470. Available from: https://journals.lww.com/ccmjournal/Fulltext/2020/01001/982__INTRAVENOUS_LIDOCAINE_INFUSION_FOR_MANAGEMENT.943.aspx.CrossRefGoogle Scholar
Habibi, V, Kiabi, FH, Sharifi, H. The effect of dexmedetomidine on the acute pain after cardiothoracic surgeries: a systematic review. Braz J Cardiovasc Surg. 2018;33(4):404–17.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×