Dental note: Postoperative pain management

Daly, Christopher

doi:10.18773/austprescr.2013.085

Cited by 4 publications

(2 citation statements)

References 39 publications

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“…Durante los últimos años, el manejo del dolor agudo postoperatorio ha mejorado sustancialmente con la incorporación de nuevas técnicas analgésicas (principalmente relacionadas con bloqueos nerviosos con anestésicos locales) y la combinación de distintos tipos de analgésicos que permiten un diseño personalizado del fármaco de elección, la vía y la técnica de administración según las necesidades que plantee el caso (3). A este conjunto de asociaciones sinérgicas de fármacos y técnicas analgésicas en cada intervención quirúrgica se le denomina analgesia MULTIMODAL.…”

Section: Introductionunclassified

Manejo farmacológico del dolor agudo postoperatorio en España. Datos de la encuesta nacional de la Sociedad Española del Dolor (SED)

Aguilar

Montes

Benito

et al. 2017

Rev. Soc. Esp. Dolor.

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. Manejo farmacológico del dolor agudo postoperatorio en España. Datos de la encuesta nacional de la Sociedad Española del Dolor (SED) / Pharmacological management of acute postoperative pain in Spain. Data from the national survey from the spanish pain society (SED) (IASP CHAPTER). Rev. Soc. Esp. Dolor. 2017Dolor. . doi: 10.20986/resed.2017Dolor. .3593/2017 Este es un archivo PDF de un manuscrito inédito que ha sido aceptado para su publicación en la Revista de la Sociedad Española del Dolor. Como un servicio a nuestros clientes estamos proporcionando esta primera versión del manuscrito en estado de prepublicación. El manuscrito será sometido a la corrección de estilo final, composición y revisión de la prueba resultante antes de que se publique en su forma final. Tenga en cuenta que durante el proceso de producción se pueden dar errores lo que podría afectar el contenido final. El copyright y todos los derechos legales que se aplican al artículo pertenecen a la Revista de la Sociedad Española de Dolor. MANEJO FARMACOLÓGICO DEL DOLOR AGUDO POSTOPERATORIO EN ESPAÑA.

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Section: Introductionunclassified

Manejo farmacológico del dolor agudo postoperatorio en España. Datos de la encuesta nacional de la Sociedad Española del Dolor (SED)

Aguilar

Montes

Benito

et al. 2017

Rev. Soc. Esp. Dolor.

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“…19 Opioids are the mainstay of analgesia for the treatment of acute postoperative pain. 20 Strong opioids, defined as those used to treat moderate to severe pain, such as morphine, oxycodone, and fentanyl, are more likely to be associated with increased risk of adverse outcomes. 21 There is a paucity of prevalence data on strong opioid and sedative co-prescription.…”

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Concomitant inpatient prescribing of strong opioids with sedatives: Associations with comorbid conditions

Caughey

Shakib

2021

Pharmacology Res & Perspec

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Co‐prescribing of opioids and sedatives is a known risk factor for opioid‐induced ventilatory impairment (OIVI). Prevalence data for sedative and opioid co‐prescription in inpatients in Australia are unknown. Our objective was to determine the prevalence of inpatient sedative and opioid co‐prescribing and to identify factors associated with co‐prescription. We conducted a retrospective cross‐sectional study from July 2017 to October 2017 across four South Australian hospitals utilizing a centralized electronic health record. Multivariate analysis was used to identify characteristics predictive of co‐prescribing of a strong opioid (fentanyl, hydromorphone, morphine, and oxycodone) and sedative medications (benzodiazepines, antiepileptics, antipsychotics, and tricyclic antidepressants). Of the 6170 inpatients, 2795 (45.3%) were prescribed a strong opioid and of those, 1889 (30.6% of all inpatients) were co‐prescribed a sedative. Of those prescribed a strong opioid, five (0.18%) developed OIVI. Patients prescribed a strong opioid had a 27–77% increased likelihood of being prescribed a sedative. Factors predictive of sedative co‐prescribing included the presence of disease of the central nervous system adjusted OR (aOR) 8.66 [95% CI 5.83–12.9] and respiratory disease aOR 1.42 [95% CI 1.17–1.72]. Nearly, one third of all hospital inpatients were co‐prescribed a strong opioid and a sedative medication. Patients with comorbidities resulting in increased risk of respiratory depression/OIVI were more likely to have sedative co‐prescription. Clinicians should be aware of the effects of high‐risk medications and ensure that systems and monitoring are in place that help mitigate adverse outcomes.

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Attitudes of surgical nurses toward postoperative opioid use: A qualitative study

2020

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Aim: This study was aimed to investigate the attitudes of surgical nurses toward postoperative opioid use. Method: The descriptive phenomenological study consists of 30 surgical nurses in two hospitals in Turkey. Data were collected by semi-structured face to face interviews. Data analyses were done by qualitative theme analysis. Findings: As a result of the theme analysis, six themes related to surgical nurses' attitudes of postoperative opioid analgesic use were identified. These themes are named as follows: primary indications for opioids, safest route for opioid administration, complications observed following opioid administration, opioid addiction, opioid safety, feeling stressed while administrating opioids. Nurses (13/30) stated that intravenous way is safer as it affects fast, and it is easy to control; while 12 nurses said that intramuscular application is safer as there are few possibilities for complications. While all of the nurses were agreed on that opioids are addictive, eighteen of them think that opioid drugs are safe, and 16 stated that administering opioids did not create stress. Conclusions: Nurses face some obstacles related to the use of opioids in the process of pain management, such as the abuse of opioids and encountering side effects. Pain management and opioid use should be given a great place in nursing education.

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Dental note: Postoperative pain management

Cited by 4 publications

References 39 publications

Manejo farmacológico del dolor agudo postoperatorio en España. Datos de la encuesta nacional de la Sociedad Española del Dolor (SED)

Manejo farmacológico del dolor agudo postoperatorio en España. Datos de la encuesta nacional de la Sociedad Española del Dolor (SED)

Concomitant inpatient prescribing of strong opioids with sedatives: Associations with comorbid conditions

Attitudes of surgical nurses toward postoperative opioid use: A qualitative study

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