Effect of nitrous oxide on fentanyl consumption in burned patients undergoing dressing change

Vale, Arthur Halley Barbosa do; Videira, Rogério Luiz da Rocha; Gómez, David S.; Carmona, Maria José Carvalho; Tsuchie, Sara Yume; Flório, Cláudia; Vane, Matheus Fachini; Posso, Irimar de Paula

doi:10.1016/j.bjane.2014.07.016

Cited by 4 publications

(2 citation statements)

References 17 publications

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“…Patient/caregiver satisfaction with the postoperative period [7] 39. Pain management [7,34,36,37,70] 40. Duration of rehabilitation in days [71] 41.…”

Section: Resultsmentioning

confidence: 99%

Quality Indicators for Hospital Burn Care: A Scoping Review

Suzuki,

Santana,

Ávila

et al. 2023

Preprint

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Background The treatment of severe burns requires the management of a specialized multidisciplinary team and the coordination of several hospital services. Evaluating the quality of care provided to acute burn patients through quality indicators makes it possible to develop and implement measures aiming at better results. There is a lack of information on which indicators evaluate care in burn patients. The purpose of this scoping review was to identify a list of quality indicators used to evaluate the quality of hospital care provided to acute burn patients and indicate the gaps in current knowledge. Method A comprehensive scoping review (PRISMA-ScR) was conducted in four databases (PubMed, Cochrane Library, Embase, and Lilacs/VHL). Potentially relevant articles were evaluated for eligibility. General data and the identified quality indicators were collected for each included article. Each indicator was classified as a structure, process, or outcome indicator. Results A total of 1548 studies were identified, 82 were included, and their reference list was tracked, adding 19 more. Thus, data were collected from 101 studies. This review identified eight structure quality indicators, 72 process indicators, and 19 outcome indicators listed and subdivided according to their objectives. Conclusion This study obtained a list of quality indicators already used to monitor and evaluate the hospital care of acute burn patients, which may be useful for other research or be used in quality improvement programs. Study Registration: Protocol was registered on the Open Science Framework platform on June 27, 2022 (https://doi.org/10.17605/OSF.IO/NAW85).

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“…Patient/caregiver satisfaction with the postoperative period [7] 39. Pain management [7,34,36,37,70] 40. Duration of rehabilitation in days [71] 41.…”

Section: Resultsmentioning

confidence: 99%

Quality Indicators for Hospital Burn Care: A Scoping Review

Suzuki,

Santana,

Ávila

et al. 2023

Preprint

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“…Inhaled nitrous oxide, a colorless and mostly odorless gas with anesthetic and analgesic properties, has been studied for procedural use in the operating room, ED, and burn-injured patients. 101,102 It has a rapid onset and offset, is relatively inexpensive, does not cause hemodynamic or respiratory depression, and may be opioid sparing. Its efficacy, safety, and practicality in the ICU setting are largely unknown but may be an area for future study.…”

Section: Miscellaneousmentioning

confidence: 99%

Beyond Opioids for Pain Management in Adult Critically Ill Patients

Wampole

Smith

2019

Journal of Pharmacy Practice

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Critically ill patients commonly experience pain, and the provision of analgesia is an essential component of intensive care unit (ICU) care. Opioids are the mainstay of pain management in the ICU but are limited by their adverse effects, risk of addiction and abuse, and recent drug shortages of injectable formulations. A multimodal analgesia approach, utilizing nonopioid analgesics as adjuncts to opioid therapy, is recommended since they may modulate the pain response and reduce opioid requirements by acting on multiple pain mediators. Nonopioid analgesics discussed in detail in this article are acetaminophen, α-2 receptor agonists, gabapentinoids, ketamine, lidocaine, and nonsteroidal anti-inflammatory drugs. This literature review describes the clinical pharmacology, supportive ICU and relevant non-ICU data, and practical considerations associated with the administration of nonopioid analgesics in critically ill adult patients.

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