• C López-López, M A Murillo-Pérez, C Morales-Sánchez, S Torrente-Vela, M Orejana-Martín, M García-Iglesias, M Cuenca-Solanas, and E Alted-López.
• UCI de Trauma y Emergencias, Hospital Universitario 12 de Octubre, Madrid, España. Electronic address: candelas.lopez@salud.madrid.org.
• Enferm Intensiva. 2014 Jul 1; 25 (3): 114-21.

ObjectiveTo assess pain response on patients with moderate to severe head injury before a common nursing procedure: tracheal suctioning.Material And MethodAn observational longitudinal pilot study with consecutive sampling performed from September to December of 2012. Pain was assessed by a pain behavioral indicator scale 5 minutes before, meanwhile and 15 minutes after tracheal suctioning the days 1, 3 and 6 of their intensive care unit (ICU) stay, as well as a non-painful procedure: rubbing with gauze the forearm of the patient. Pseudo-analgesia and hemodynamic variables were also recorded. Descriptive analysis of the variables, inferential statistics with t-student and Anova with SPSS 17.0; statistical tests were considered significant if the critical level observed was less than 5% (P<.05).ResultsPain was assessed on 27 patients. 82% suffered from severe head trauma and 18% moderate. The average pain value during nursing procedure day 1 was 3, 18±2.6, day 3: 2, 59±2 and day 6: 3, 94±2.3. There was a significant increase in mean pain while performing suctioning during the three days of assessment (P<.05); however no significant differences between the average pain value on the three days of the assessment (P>.05) were shown. Data for the painless procedure were significantly different on day 6 (P<.05) CONCLUSION: During tracheal suctioning in patients with head injury in the first 6 days in the ICU, objective mild-moderate pain according to ESCID scale has been detected.Copyright © 2013 Elsevier España, S.L.U. y SEEIUC. All rights reserved.

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