pain management | The Journal of Critical Care Medicine

In between Opioid Crisis and the Need to Treat Pain, Where Do We Stand?

Daniela Ionescu¹, Simona Margarit²

1 Department of Anesthesia and Intensive Care I, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
2 Department of Anesthesia and Intensive Care, O Fodor Regional Institute of Gastroenterology and Hepatology, Cluj-Napoca, Romania

DOI: 10.2478/jccm-2022-0029

Acute and chronic pain are very disturbing conditions for the patient, with numerous implications on the short- and long-term outcome of patients [1]. While acute pain is experienced mostly after surgery, and in some other medical conditions as well, chronic pain may be the symptom or the result of numerous medical conditions among which cancer, muscle-skeletal or neurodegenerative diseases and surgery or persistent inflammation are, probably, the main causes [2].
This is why guidelines, drugs and medical interventions have been proposed to treat acute and chronic pain [3, 4]. While acute pain, both mild or severe is well manageable with treatment, chronic pain may be very disturbing and debilitating for the patients, especially in patients with cancer, neurodegenerative or muscle-skeletal disorders and is generally much more difficult to treat [5]. [More]

Health Care Professional’s Attitude Towards the Effective Management of Pain in the Critically Ill Neonate

Laura Mihaela Suciu¹, Manuela Cucerea¹, Marta Simon¹, Andreea Avasiloaiei², Olimpia Petrescu³, Suciu Bogdan Andrei⁴

¹ Department of Pediatrics, University of Medicine and Pharmacy Tîrgu Mures, Romania
² Department of Pediatrics, University of Medicine and Pharmacy Iasi, Romania
³ Department of Neonatology, County Hospital Brasov, Romania
⁴ Anatomy and Embryology Department, University of Medicine and Pharmacy Tîrgu Mures, Romania

DOI: 10.1515/jccm-2015-0018

Introduction: Over the past 25 years, caregiver’s knowledge of pain in newborn infants has advanced from the beliefs that newborn infants do not feel pain, to the knowledge that preterm infants experience more pain compare to older children and adults. However, caregivers know that pain exists in this population and research has supported that pain continues to be untreated up to 65% of the time.
Aim of the study: The purpose of this study was to investigate the attitude and knowledge of health care professionals from the area of Neonatology in Romania regarding procedural pain management in newborn infants.
Material and methods: The sample consisted of 85 physicians and nurses (110 invited) working in five Neonatal Care Centres. Data were collected using a self-completion, 17 items questionnaire designed for this study.
Results: With a response rate of 77.27% which was similar in nurses and physicians, respondents in our study were aware about the pain experience during procedural interventions, recognized the items of pain scales assessment, and are not comfortable with the parental presence during painful procedures. Twenty-five percent of nurses versus 9% of physicians reported rushed care as an important barrier of adequate non-pharmacological pain management (95% IC, 0.319-0.003)
Conclusions: The use of pain protocols for an effective management of pain during neonatal period is required.