[Clinical practices of analgesia for invasive procedures in critically ill sedated patients in Ile-de-France: a phone survey].
To assess the practice of analgesia for invasive procedures in critically ill sedated patient in Ile-de-France (French area including Paris). Observational study: phone survey using a standard questionnaire. Only one senior physician in each of 30 intensive care unit (ICU) was questioned. Baseline sedation included systematic analgesia with narcotics in all ICUs. Only 4 physicians declared using a specific pain scale for sedated patients. Only 3 ICUs used written protocols. Procedures, which were thought to be most invasive (catheterization, pleural drainage, fibroscopy) were in most cases preceded by analgesia, but this was seldom the case for less painful events (venous or arterial puncture, tracheal suctioning). Specific pain scales are still underused. In contrast with current guidelines, analgesia for invasive procedures is not systematic but depends on subjective opinions.
Brocas
E
E
Service de réanimation polyvalente, centre hospitalier Sud-Francilien, site Louise-Michel, 91080 Evry-Courcouronnes, France. elsa.brocas@ch-sud-francilien.fr
Adam
M
M
Alonso
A
A
Perrin-Gachadoat
D
D
Thierry
S
S
Tenaillon
A
A
D000698:Analgesia; D001999:Bronchoscopy; D016292:Procedural Sedation; D016638:Critical Illness; D003625:Data Collection; D004322:Drainage; D005602:France; D017408:Guidelines as Topic; D007362:Intensive Care Units / Q000706:statistics & numerical data*; D007442:Intubation, Intratracheal; D010147:Pain Measurement; D011795:Surveys and Questionnaires; D013689:Telephone