An acute pain service improves postoperative pain management for children undergoing selective dorsal rhizotomy

Frigon, Chantal; Loetwiriyakul, Witthaya; Ranger, Manon; Otis, Annik

doi:10.1111/j.1460-9592.2009.03184.x

Cited by 10 publications

(15 citation statements)

References 17 publications

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“…Regular assessment was significantly higher in APS/APMP hospitals, where interdepartmental consensus on which pain scale to use was also more likely. These findings are consistent with reports that a specialised approach to pain increases staff awareness and improves how pain is assessed and recorded . Our finding that slightly more than half of the hospitals with specialised services continued to use separate records, may be attributable to the pain specialists’ lack of access to other departments’ records.…”

Section: Discussionsupporting

confidence: 92%

Management of postoperative pain in Spain: a nationwide survey of practice

Montes

Aguilar

Benito

et al. 2017

Acta Anaesthesiol Scand

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Section: Discussionsupporting

confidence: 92%

Management of postoperative pain in Spain: a nationwide survey of practice

Montes

Aguilar

Benito

et al. 2017

Acta Anaesthesiol Scand

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“…These studies include a critical review by Werner et al of outcome data from over 84,000 post-operative patients 37 , an analysis by Stadler et al which identified a cost-effective improvement in post-operative pain and morbidity 39 , and a study by Tighe et al which demonstrated that the introduction of an APS improved inpatient perception of pain relief upon return of consciousness after anesthesia and for 2 days post-operatively 40 . One indirect contributory factor to improving pain management and providing more adequate treatment 41,42 may be that an APS increases health professionals' pain awareness, exemplified by more frequent pain assessment and improved pain documentation 43 , although some clinicians have suggested that this could focus patients' attention on the issue.…”

Section: Acute Pain Servicesmentioning

confidence: 99%

Improving the management of post-operative acute pain: priorities for change

Meißner

Coluzzi

Fletcher

et al. 2015

Current Medical Research and Opinion

178

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Poor management of post-operative acute pain can contribute to medical complications including pneumonia, deep vein thrombosis, infection and delayed healing, as well as the development of chronic pain. It is therefore important that all patients undergoing surgery should receive adequate pain management. However, evidence suggests this is not currently the case; between 10% and 50% of patients develop chronic pain after various common operations, and one recent US study recorded >80% of patients experiencing post-operative pain. At the first meeting of the acute chapter of the Change Pain Advisory Board, key priorities for improving post-operative pain management were identified in four different areas. Firstly, patients should be more involved in decisions regarding their own treatment, particularly when fateful alternatives are being considered. For this to be meaningful, relevant information should be provided so they are well informed about the various options available. Good physician/patient communication is also essential. Secondly, better professional education and training of the various members of the multidisciplinary pain management team would enhance their skills and knowledge, and thereby improve patient care. Thirdly, there is scope for optimizing treatment. Examples include the use of synergistic analgesia to target pain at different points along pain pathways, more widespread adoption of patient-controlled analgesia, and the use of minimally invasive rather than open surgery. Fourthly, organizational change could provide similar benefits; introducing acute pain services and increasing their availability towards the 24 hours/day ideal, greater adherence to protocols, increased use of patient-reported outcomes, and greater receptivity to technological advances would all help to enhance performance and increase patient satisfaction. It must be acknowledged that implementing these recommendations would incur a considerable cost that purchasers of healthcare may be unwilling or unable to finance. Nevertheless, change is under way and the political will exists for it to continue.

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“…10,24,25 Acute pain service teams may improve postoperative pain management, facilitate a possible reduction in postoperative nausea and vomiting, prevent the development of side effects, increase patient satisfaction, and decrease hospital stay. 10,15,[26][27][28][29][30][31] Studies show that there is considerable variation in the organization and procedures of APS teams. 22,24,32,33 Currently, there is no consensus about standards for staffing, specific facilities, procedures, and criteria on what constitutes a good APS.…”

Section: Introductionmentioning

confidence: 99%