Mehran Kouchak - Anesthesiologist, pain fellowship

One thousand years ago , Avicenna , the Prince of Physicians codified 15 types of Pain and of course their management and treatment . Many centuries later we are confronted with Pain in Intesive Care Units and we should be able to manage several types of Pain in ICU which is one the biggest challenges in modern medicine . Pain management in ICU has it s own problem and difficulties in order to reduce pain and suffering near the hopeless and somehow , helpless population of patients . Yet , multimodal approach is better applied and well tolerated in critically ill patients . Here we discuss about many aspects and modalities of pain control for reducing these patients sufferings such as pharmacological and non-pharmacological methods . Managing pain in an unconscious patient is a big challenge . How to measure pain How to assess it regularly How to give therapeutic plans to care givers How to control and diminish pain killers side effects What is the position of Regional Analgesia for pain management in ICU Hopefully the awareness about pain management in critical care medicine is more and more increased and less patients are suffering Pain , in comparison to even recent decades ,in ICUs all over the world.