Open-access Pain assessment and management in patients undergoing endovascular procedures in the catheterization laboratory

Avaliação e manejo da dor em pacientes submetidos a procedimentos endovasculares em laboratório de hemodinâmica

Abstract

OBJECTIVE  To describe how pain is assessed (characteristic, location, and intensity) and managed in clinical practice in patients undergoing endovascular procedures in the catheterization laboratory setting.

METHOD  Cross-sectional study with retrospective data collection.

RESULTS  Overall, 345 patients were included; 116 (34%) experienced post-procedural pain; in 107 (92%), pain characteristics were not recorded; the location of pain was reported in 100% of patients, and its intensity in 111 (96%); management was largely pharmacologic; of the patients who received some type of management (n=71), 42 (59%) underwent reassessment of pain.

CONCLUSION  The location and intensity of pain are well reported in clinical practice. Pharmacologic pain management is still prevalent. Additional efforts are needed to ensure recording of the characteristics of pain and its reassessment after interventions.

Descriptors
Pain; Acute Pain; Pain Management; Endovascular Procedures; Nursing Care

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Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br
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