Adaptación de la escala ESCID para medir el dolor en pacientes críticos con daño cerebral

  1. Candelas López-López
  2. Antonio Arranz-Esteban
  3. Mª del Mar Sánchez-Sánchez
  4. Ignacio Latorre-Marco
  5. María Acevedo-Nuevo
  6. Susana Arias-Rivera
  7. Montserrat Solís-Muñoz
  8. Ana Rodríguez-Gonzalo
  9. Santiago Pérez-García
Journal:
Metas de enfermería

ISSN: 1138-7262

Year of publication: 2018

Volume: 21

Issue: 9

Pages: 27-31

Type: Article

DOI: 10.35667/METASENF.2019.21.1003081316 DIALNET GOOGLE SCHOLAR

More publications in: Metas de enfermería

Abstract

Objective: to evaluate the validity of the concept and the reliability of the adaptation of the Scale of Behavior Indicators of Pain (ESCID) in order to assess pain in critical patients with brain damage, who are non-communicative and undergoing mechanical ventilation. Method: subjects: a multicenter observational study. It will be conducted on critical patients with acquired brain damage, of age, undergoing invasive mechanical ventilation, and unable to communicate, who have been admitted to intensive care units from four 3rd level University Hospitals from the Community of Madrid. Pain will be evaluated in all subjects with two instruments simultaneously (ESCID-DC and video recording). Pain evaluation through ESCID-DC will be conducted by two independent observers with blind results between them, with the application of two painful procedures (aspiration of tracheal secretions and pressure on the nail bed) and a non-painful procedure. Measurement will only be conducted once per patient and procedure. Pain measurement will be conducted at three time points: five minutes before, during, and fifteen minutes after each procedure. Five minutes before initiating the procedure and up to ten minutes afterwards, two video cameras will capture images and audio (one will focus on the entire body, the other one only on the face), in order to capture and subsequently analyze the gestural and body changes of the subject at each moment, and to be able to correlate them with the eight behavior indicators of the ESCID-DC scale. Conclusions: the availability of this type of scale, with good psychometric properties, will improve pain management for patients with brain damage and, therefore, treatment efficacy.

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