Citation

Durand Bechu M, Mouysset V, Minville V, Bounes V, Houze-Cerfon CH. Eur. J. Emerg. Med. 2015; 23(4): 315-318.

Affiliation

aSAMU31 bDepartment of Anaesthesiology and Intensive Care Medicine, University Hospital of Toulouse, Toulouse cDepartment of Anaesthesiology, Clinical Complex of Cedres, Cornebarrieu, France.

Copyright

(Copyright © 2015, Lippincott Williams and Wilkins)

DOI

10.1097/MEJ.0000000000000341

PMID

26513399

Abstract

OBJECTIVE: To compare the perception by naive patients, emergency services clinicians and nurses, of healthcare-induced pain for procedures performed frequently by accident and emergency services.

METHODS: A prospective, three-part anonymous survey, given to caregivers and patients at arrival accident and emergency services. The primary endpoint was the a-priori estimated pain score for 10 procedures performed frequently by accident and emergency services. The same estimation was performed with the 'willingness-to-pay' method (amount allocated a priori to avoid this pain).

RESULTS: Fifty surveys were analyzed in each group, with a significant difference for pain perception between caregivers and patients concerning four procedures: local anesthesia, fracture or dislocation reduction, dressing change and abscess incision. Caregivers always overestimated pain scores compared with patients. No difference was noted for the remaining five procedures: intravenous line insertion and removal, urethral catheterization, wound suture and nasogastric intubation.

CONCLUSION: Caregivers should be aware of the most feared procedures by patients to establish pre-emptive analgesia when possible, inform patients and achieve reassurance.

Language: en