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Unrecognized suffering in the ICU: addressing dyspnea in mechanically ventilated patients
Background Intensive care unit (ICU) patients are exposed to many sources of discomfort. Although increasing attention is being given to the detection and treatment of pain, very little is given to the detection and treatment of dyspnea (defined as “breathing discomfort”). Methods Published informat...
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| Published in: | Intensive care medicine 2014-01, Vol.40 (1), p.1-10 |
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| Main Authors: | , , , , , , |
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| container_end_page | 10 |
| container_issue | 1 |
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| container_title | Intensive care medicine |
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| creator | Schmidt, Matthieu Banzett, Robert B. Raux, Mathieu Morélot-Panzini, Capucine Dangers, Laurence Similowski, Thomas Demoule, Alexandre |
| description | Background
Intensive care unit (ICU) patients are exposed to many sources of discomfort. Although increasing attention is being given to the detection and treatment of pain, very little is given to the detection and treatment of dyspnea (defined as “breathing discomfort”).
Methods
Published information on the prevalence, mechanisms, and potential negative impacts of dyspnea in mechanically ventilated patients are reviewed. The most appropriate tools to detect and quantify dyspnea in ICU patients are also assessed.
Results/Conclusions
Growing evidence suggests that dyspnea is a frequent issue in mechanically ventilated ICU patients, is highly associated with anxiety and pain, and is improved in many patients by altering the ventilator settings.
Conclusions
Future studies are needed to better delineate the impact of dyspnea in the ICU and to define diagnostic, monitoring and therapeutic protocols. |
| doi_str_mv | 10.1007/s00134-013-3117-3 |
| format | article |
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Intensive care unit (ICU) patients are exposed to many sources of discomfort. Although increasing attention is being given to the detection and treatment of pain, very little is given to the detection and treatment of dyspnea (defined as “breathing discomfort”).
Methods
Published information on the prevalence, mechanisms, and potential negative impacts of dyspnea in mechanically ventilated patients are reviewed. The most appropriate tools to detect and quantify dyspnea in ICU patients are also assessed.
Results/Conclusions
Growing evidence suggests that dyspnea is a frequent issue in mechanically ventilated ICU patients, is highly associated with anxiety and pain, and is improved in many patients by altering the ventilator settings.
Conclusions
Future studies are needed to better delineate the impact of dyspnea in the ICU and to define diagnostic, monitoring and therapeutic protocols.</description><identifier>ISSN: 0342-4642</identifier><identifier>EISSN: 1432-1238</identifier><identifier>DOI: 10.1007/s00134-013-3117-3</identifier><identifier>PMID: 24132382</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Anesthesia ; Anesthesiology ; Anxiety - diagnosis ; Anxiety - etiology ; Care and treatment ; Caregivers ; Critical Care - methods ; Critical Care - standards ; Critical Care Medicine ; Dyspnea ; Dyspnea - diagnosis ; Dyspnea - etiology ; Dyspnea - psychology ; Emergency Medicine ; Hospital patients ; Humans ; Intensive ; Intensive care ; Intensive Care Units ; Lungs ; Medical research ; Medicine ; Medicine & Public Health ; Medicine, Experimental ; Pain ; Pain - diagnosis ; Pain - etiology ; Pain Management - methods ; Pain Medicine ; Patients ; Pediatrics ; Pneumology/Respiratory System ; Pulmonary Gas Exchange - physiology ; Respiration ; Respiration, Artificial - adverse effects ; Respiration, Artificial - methods ; Review ; Tidal Volume - physiology ; Visual Analog Scale</subject><ispartof>Intensive care medicine, 2014-01, Vol.40 (1), p.1-10</ispartof><rights>Springer-Verlag Berlin Heidelberg and ESICM 2013</rights><rights>COPYRIGHT 2014 Springer</rights><rights>Springer-Verlag Berlin Heidelberg and ESICM 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c641t-4d6d0cd5eca8d8ed9c2f0211d8558543a0cadec142aa0c6ff64a74e50516c84d3</citedby><cites>FETCH-LOGICAL-c641t-4d6d0cd5eca8d8ed9c2f0211d8558543a0cadec142aa0c6ff64a74e50516c84d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24132382$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schmidt, Matthieu</creatorcontrib><creatorcontrib>Banzett, Robert B.</creatorcontrib><creatorcontrib>Raux, Mathieu</creatorcontrib><creatorcontrib>Morélot-Panzini, Capucine</creatorcontrib><creatorcontrib>Dangers, Laurence</creatorcontrib><creatorcontrib>Similowski, Thomas</creatorcontrib><creatorcontrib>Demoule, Alexandre</creatorcontrib><title>Unrecognized suffering in the ICU: addressing dyspnea in mechanically ventilated patients</title><title>Intensive care medicine</title><addtitle>Intensive Care Med</addtitle><addtitle>Intensive Care Med</addtitle><description>Background
Intensive care unit (ICU) patients are exposed to many sources of discomfort. Although increasing attention is being given to the detection and treatment of pain, very little is given to the detection and treatment of dyspnea (defined as “breathing discomfort”).
Methods
Published information on the prevalence, mechanisms, and potential negative impacts of dyspnea in mechanically ventilated patients are reviewed. The most appropriate tools to detect and quantify dyspnea in ICU patients are also assessed.
Results/Conclusions
Growing evidence suggests that dyspnea is a frequent issue in mechanically ventilated ICU patients, is highly associated with anxiety and pain, and is improved in many patients by altering the ventilator settings.
Conclusions
Future studies are needed to better delineate the impact of dyspnea in the ICU and to define diagnostic, monitoring and therapeutic protocols.</description><subject>Anesthesia</subject><subject>Anesthesiology</subject><subject>Anxiety - diagnosis</subject><subject>Anxiety - etiology</subject><subject>Care and treatment</subject><subject>Caregivers</subject><subject>Critical Care - methods</subject><subject>Critical Care - standards</subject><subject>Critical Care Medicine</subject><subject>Dyspnea</subject><subject>Dyspnea - diagnosis</subject><subject>Dyspnea - etiology</subject><subject>Dyspnea - psychology</subject><subject>Emergency Medicine</subject><subject>Hospital patients</subject><subject>Humans</subject><subject>Intensive</subject><subject>Intensive care</subject><subject>Intensive Care Units</subject><subject>Lungs</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medicine, Experimental</subject><subject>Pain</subject><subject>Pain - diagnosis</subject><subject>Pain - etiology</subject><subject>Pain Management - methods</subject><subject>Pain Medicine</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Pneumology/Respiratory System</subject><subject>Pulmonary Gas Exchange - physiology</subject><subject>Respiration</subject><subject>Respiration, Artificial - adverse effects</subject><subject>Respiration, Artificial - methods</subject><subject>Review</subject><subject>Tidal Volume - physiology</subject><subject>Visual Analog Scale</subject><issn>0342-4642</issn><issn>1432-1238</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNp1kktv1DAUhS0EokPhB7BBkdiwSfG1HSdlgVSNeFSq1E1nwcoy9k3GVeIEO6k0_HpspvSlYePnd8-1jw4hb4GeAKX1x0gpcFGmoeQAdcmfkRUIzkpgvHlOVpQLVgop2BF5FeN1omtZwUtyxATwhLAV-bHxAc3YefcbbRGXtsXgfFc4X8xbLM7Xm0-FtjZgjPnY7uLkUefrAc1We2d03--KG_Sz6_WcNCY9u7SLr8mLVvcR39zOx2Tz9cvV-nt5cfntfH12URopYC6FlZYaW6HRjW3QnhrWUgZgm6pqKsE1NdqiAcF0Wsq2lULXAitagTSNsPyYfN7rTsvPAa1JvYPu1RTcoMNOjdqpxzfebVU33iiRLGOUJoEPtwJh_LVgnNXgosG-1x7HJSoQsmqkpLVI6Psn6PW4BJ--95cCAU3N76lO96icb8fU12RRdVYzwSk_lZkqD1AdekyPHD22Lh0_4k8O8Dq7MzhzsAD2BSaMMQZs7zwBqnJ-1D4_Kg0q50flmncPzbyr-BeYBLA9EKecEwwPHPiv6h8bWs-W</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Schmidt, Matthieu</creator><creator>Banzett, Robert B.</creator><creator>Raux, Mathieu</creator><creator>Morélot-Panzini, Capucine</creator><creator>Dangers, Laurence</creator><creator>Similowski, Thomas</creator><creator>Demoule, Alexandre</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140101</creationdate><title>Unrecognized suffering in the ICU: addressing dyspnea in mechanically ventilated patients</title><author>Schmidt, Matthieu ; Banzett, Robert B. ; Raux, Mathieu ; Morélot-Panzini, Capucine ; Dangers, Laurence ; Similowski, Thomas ; Demoule, Alexandre</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c641t-4d6d0cd5eca8d8ed9c2f0211d8558543a0cadec142aa0c6ff64a74e50516c84d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Anesthesia</topic><topic>Anesthesiology</topic><topic>Anxiety - diagnosis</topic><topic>Anxiety - etiology</topic><topic>Care and treatment</topic><topic>Caregivers</topic><topic>Critical Care - methods</topic><topic>Critical Care - standards</topic><topic>Critical Care Medicine</topic><topic>Dyspnea</topic><topic>Dyspnea - diagnosis</topic><topic>Dyspnea - etiology</topic><topic>Dyspnea - psychology</topic><topic>Emergency Medicine</topic><topic>Hospital patients</topic><topic>Humans</topic><topic>Intensive</topic><topic>Intensive care</topic><topic>Intensive Care Units</topic><topic>Lungs</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Medicine, Experimental</topic><topic>Pain</topic><topic>Pain - diagnosis</topic><topic>Pain - etiology</topic><topic>Pain Management - methods</topic><topic>Pain Medicine</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Pneumology/Respiratory System</topic><topic>Pulmonary Gas Exchange - physiology</topic><topic>Respiration</topic><topic>Respiration, Artificial - adverse effects</topic><topic>Respiration, Artificial - methods</topic><topic>Review</topic><topic>Tidal Volume - physiology</topic><topic>Visual Analog Scale</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schmidt, Matthieu</creatorcontrib><creatorcontrib>Banzett, Robert B.</creatorcontrib><creatorcontrib>Raux, Mathieu</creatorcontrib><creatorcontrib>Morélot-Panzini, Capucine</creatorcontrib><creatorcontrib>Dangers, Laurence</creatorcontrib><creatorcontrib>Similowski, Thomas</creatorcontrib><creatorcontrib>Demoule, Alexandre</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Intensive care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schmidt, Matthieu</au><au>Banzett, Robert B.</au><au>Raux, Mathieu</au><au>Morélot-Panzini, Capucine</au><au>Dangers, Laurence</au><au>Similowski, Thomas</au><au>Demoule, Alexandre</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unrecognized suffering in the ICU: addressing dyspnea in mechanically ventilated patients</atitle><jtitle>Intensive care medicine</jtitle><stitle>Intensive Care Med</stitle><addtitle>Intensive Care Med</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>40</volume><issue>1</issue><spage>1</spage><epage>10</epage><pages>1-10</pages><issn>0342-4642</issn><eissn>1432-1238</eissn><abstract>Background
Intensive care unit (ICU) patients are exposed to many sources of discomfort. Although increasing attention is being given to the detection and treatment of pain, very little is given to the detection and treatment of dyspnea (defined as “breathing discomfort”).
Methods
Published information on the prevalence, mechanisms, and potential negative impacts of dyspnea in mechanically ventilated patients are reviewed. The most appropriate tools to detect and quantify dyspnea in ICU patients are also assessed.
Results/Conclusions
Growing evidence suggests that dyspnea is a frequent issue in mechanically ventilated ICU patients, is highly associated with anxiety and pain, and is improved in many patients by altering the ventilator settings.
Conclusions
Future studies are needed to better delineate the impact of dyspnea in the ICU and to define diagnostic, monitoring and therapeutic protocols.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24132382</pmid><doi>10.1007/s00134-013-3117-3</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Anesthesia Anesthesiology Anxiety - diagnosis Anxiety - etiology Care and treatment Caregivers Critical Care - methods Critical Care - standards Critical Care Medicine Dyspnea Dyspnea - diagnosis Dyspnea - etiology Dyspnea - psychology Emergency Medicine Hospital patients Humans Intensive Intensive care Intensive Care Units Lungs Medical research Medicine Medicine & Public Health Medicine, Experimental Pain Pain - diagnosis Pain - etiology Pain Management - methods Pain Medicine Patients Pediatrics Pneumology/Respiratory System Pulmonary Gas Exchange - physiology Respiration Respiration, Artificial - adverse effects Respiration, Artificial - methods Review Tidal Volume - physiology Visual Analog Scale |
| title | Unrecognized suffering in the ICU: addressing dyspnea in mechanically ventilated patients |
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