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VOLUME 26 , ISSUE 4 ( April, 2022 ) > List of Articles


Pain Assessment in Intensive Care Unit: A Forgotten Entity or a Quality Indicator?

Keywords : Behavioral Pain Scale, Critical care pain observation tool, Intensive care unit, Pain assessment

Citation Information : Pain Assessment in Intensive Care Unit: A Forgotten Entity or a Quality Indicator?. Indian J Crit Care Med 2022; 26 (4):421-422.

DOI: 10.5005/jp-journals-10071-24191

License: CC BY-NC 4.0

Published Online: 13-05-2022

Copyright Statement:  Copyright © 2022; The Author(s).


  1. Payen JF, Bru O, Bosson JL, Lagrasta A, Novel E, Deschaux I, et al. Assessing pain in critically ill sedated patients by using a behavioral pain scale. Crit Care Med 2001;29(12):2258–2263. DOI: 10.1097/00003246-200112000-00004.
  2. Gélinas C, Puntillo KA, Joffe AM, Barr J. A validated approach to evaluating psychometric properties of pain assessment tools for use in nonverbal critically ill adults. Semin Respir Crit Care Med 2013;34(2):153–168. DOI: 10.1055/s-0033-1342970.
  3. Chen HJ, Chen YM. Pain assessment: validation of the physiologic indicators in the ventilated adult patient. Pain Manag Nurs 2015;16(2):105–111. DOI: 10.1016/j.pmn.2014.05.012.
  4. Azevedo-Santos IF, DeSantana JM. Pain measurement techniques: spotlight on mechanically ventilated patients. J Pain Res 2018;11:2969. DOI: 10.2147/JPR.S151169.
  5. Cade CH. Clinical tools for the assessment of pain in sedated critically ill adults. Nurs Crit Care 2008;13(6):288–297. DOI: 10.1111/j. 1478-5153.2008.00294.x.
  6. Chanques G, Pohlman A, Kress JP, Molinari N, de Jong A, Jaber S, et al. Psychometric comparison of three behavioural scales for the assessment of pain in critically ill patients unable to self-report. Crit Care 2014;18(5):1–2. DOI: 10.1186/cc14000.
  7. Rijkenberg S, Stilma W, Endeman H, Bosman RJ, Oudemans-van Straaten HM. Pain measurement in mechanically ventilated critically ill patients: behavioral pain scale versus critical-care pain observation tool. J Crit Care 2015;30(1):167–172. DOI: 10.1016/j.jcrc.2014.09.007.
  8. Nazari R, Froelicher ES, Nia HS, Hajihosseini F, Mousazadeh N. A comparative study of the diagnostic value of the critical care pain observation tool and the behavioral pain scale for pain assessment among unconscious patients. Indian J Crit Care Med 2022;26(4):472–476. DOI: 10.5005/jp-journals-10071-24154.
  9. Zhai Y, Cai S, Zhang Y. The diagnostic accuracy of critical care pain observation tool (CPOT) in ICU patients: a systematic review and meta-analysis. J Pain Symptom Manage 2020;60(4):847–856. DOI: 10.1016/j.jpainsymman.2020.06.006.
  10. Devlin JW, Skrobik Y, Gélinas C, Needham DM, Slooter AJC, Pandharipande PP, et al. Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU. Crit Care Med 2018;46(9):e825–e873. DOI: 10.1097/CCM.0000000000003299.
  11. Wildemeersch D, Peeters N, Saldien V, Vercauteren M, Hans G. Pain assessment by pupil dilation reflex in response to noxious stimulation in anaesthetized adults. Acta Anaesthesiol Scand 2018;62(8): 1050–1056. DOI: 10.1111/aas.13129.
  12. Broucqsault-Dédrie C, De Jonckheere J, Jeanne M, Nseir S. Measurement of heart rate variability to assess pain in sedated critically ill patients: a prospective observational study. PLoS One 2016;11(1):e0147720. DOI: 10.1371/journal.pone.0147720.
  13. Ben-Israel N, Kliger M, Zuckerman G, Katz Y, Edry R. Monitoring the nociception level: a multi-parameter approach. J Clin Monitor Comput 2013;27(6):659–668. DOI: 10.1007/s10877-013-9487-9.
  14. Gélinas C, Shahiri S, Richard-Lalonde M, Laporta D, Morin JF, Boitor M, et al. Exploration of a multi-parameter technology for pain assessment in postoperative patients after cardiac surgery in the intensive care unit: the nociception level index (NOL) TM. J Pain Res 2021;14:3723. DOI: 10.2147/JPR.S332845.
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