TITLE:
Evaluation and Management of Acute Pain in the Intensive Care Unit: A Single-Center Study at the Essos Hospital Centre, a Leading Referral Hospital in Cameroon
AUTHORS:
Serge Vivier Nga Nomo, Charles Emmanuel Toussaint Binam Bikoi, Aristide Gilles Kuitchet Njeunji, Cristella Raissa Iroume Bifouna, Junette Arlette Metogo Mbengono, Fidèle Binam
KEYWORDS:
Acute Pain Management, Intensive Care Unit, Pain Assessment
JOURNAL NAME:
Open Journal of Emergency Medicine,
Vol.13 No.1,
March
7,
2025
ABSTRACT: Background: Acute pain management in the Intensive Care Unit (ICU) is a major concern for patient comfort, recovery, and long-term outcomes. However, practices vary, and limited data exist on the effectiveness of pain management protocols in low-income countries such as Cameroon, particularly in leading referral hospitals like the Essos Hospital Centre. Methods: A prospective, single-center cohort study was conducted at the Essos Hospital Centre, a leading referral hospital in Cameroon. The aim was to assess the adequacy of pain assessment tools, pharmacological and non-pharmacological interventions, and the impact of pain management on patient recovery. Data were collected over a 3-month period from 130 ICU patients. Results: Preliminary findings indicate that pain assessment is inadequate, with only 60% of patients receiving systematic pain assessments. Analgesics were administered in 78% of cases, with opioids being the most commonly used (65%), followed by non-opioid analgesics (53%). Despite these interventions, 35% of patients reported moderate to severe pain during their ICU stay. A significant correlation was observed between optimal pain management and a reduced ICU stay duration (p Conclusion: This study highlights gaps in pain management practices at the Essos Hospital Centre, a leading referral hospital in Cameroon. It suggests that current protocols may not provide effective pain relief for ICU patients. We recommend the implementation of more structured pain management protocols, incorporating both pharmacological and non-pharmacological strategies, to improve both patient comfort and clinical outcomes.