Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Committee, and Administrative Council

Chou, Roger; Gordon, Debra B.; León-Casasola, Óscar A. de; Rosenberg, Jack M.; Bickler, Stephen W.; Brennan, Timothy J.; Carter, Todd; Cassidy, Carla L.; Chittenden, Eva; Degenhardt, Ernest; Griffith, Scott; Manworren, Renee C.B.; McCarberg, Bill; Montgomery, Robert R.; Murphy, Jamie D.; Perkal, Melissa F.; Suresh, Santhanam; Sluka, Kathleen A.; Strassels, Scott A.; Thirlby, Richard C.; Viscusi, Eugene R.; Walco, Gary A.; Warner, Lisa M.; Weisman, Steven J.; Wu, Christopher L.

doi:10.1016/j.jpain.2015.12.008

Cited by 2,248 publications

(2,279 citation statements)

References 274 publications

Supporting

Mentioning

1,982

Contrasting

Unclassified

Order By: Relevance

“…Siempre que sea posible, se deberían utilizar técnicas locorregionales como la infiltración de la herida quirúrgica, de los "portales" de la laparoscopia y artroscopia y el bloqueo de nervios periféricos. Estas técnicas locorregionales facilitan y mejoran el control del dolor posoperatorio, por lo que deberían formar parte de una estrategia de analgesia multimodal (6). No obstante, existen otros aspectos de gran relevancia entre los que se incluyen la realización de una cirugía mínimamente agresiva y la activa participación del personal de enfermería colaborando en la información, educación, cuidados y seguimiento posoperatorio de los pacientes.…”

Section: Ugc De Anestesiología Reanimación Y Tratamiento Del Dolor Hunclassified

El tratamiento del dolor posoperatorio ¿Un problema sin resolver?

Ortega-García

Neira-Reina

2018

Rev. Soc. Esp. Dolor.

View full text Add to dashboard Cite

Instrucciones de citación para el artículo / Citation instructions for the article:García Josefa Luisa, NEIRA REINA FERNANDO. El tratamiento del dolor posoperatorio ¿Un problema sin resolver? / The treatment of postoperative pain. An unresolved problem?. Rev. Soc. Esp. Dolor. 2018. doi: 10.20986/resed.2018.3668/2018 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.

show abstract

Section: Ugc De Anestesiología Reanimación Y Tratamiento Del Dolor Hunclassified

El tratamiento del dolor posoperatorio ¿Un problema sin resolver?

Ortega-García

Neira-Reina

2018

Rev. Soc. Esp. Dolor.

View full text Add to dashboard Cite

show abstract

“…Current guidelines recommend multimodal analgesia that integrates a variety of analgesic medications and techniques (i.e., epidural with local anesthetic with or without opioid or intrathecal opioid) with non-pharmacologic interventions (i.e., cognitive modalities, relaxation, music) to manage postoperative pain. [43] Nurses should use a validated pain assessment tool, such as the Numeric Rating Scale or the Wong-Baker FACES pain rating scale to measure pain intensity (see Figure 3). [44] Whenever a patient is receiving opioid pain medication, nurses monitor the patient's level of consciousness and respiratory status to evaluate the efficacy of treatment and to identify adverse effects.…”

Section: Pseudarthrosismentioning

confidence: 99%

“…[44] Whenever a patient is receiving opioid pain medication, nurses monitor the patient's level of consciousness and respiratory status to evaluate the efficacy of treatment and to identify adverse effects. [43] In anticipation of discharge, nurses ensure that the patient is able to describe the pain management plan, including strategies to manage opioid-related adverse effects (i.e., constipation). Patients are instructed to gradually taper their opioid use.…”

Section: Pseudarthrosismentioning

confidence: 99%

Nursing care of the patient undergoing lumbar spinal fusion

Lall

2017

JNEP

View full text Add to dashboard Cite

Lumbar spinal fusion is a surgical procedure performed to join-or fuse-2 or more vertebrae in the low back. The procedure is done to stabilize the spine and prevent damage to the cauda equina and emanating nerve roots. Lumbar fusion is commonly indicated for patients with vertebral fractures, infection, or spinal tumors, and it may be appropriate for select patients with degenerative disorders and spinal stenosis. Nurses who care for patients undergoing lumbar fusion require an understanding of lumbar spinal anatomy, spinal pathology, surgical indications, and diagnostic modalities. Knowledge of the distinct surgical approaches and their respective advantages and disadvantages allows nurses to individualize patient care and be alert to postoperative complications. This article reviews clinical and research literature regarding lumbar fusion, with an emphasis on the role of the nurse in promoting a safe perioperative course.

show abstract

“…In particular, the emergence of peripheral nerve blocks for postoperative analgesia has resulted in improved pain scores, reduced opioid requirements, and improved mobility in TKA. [23][24][25][26][27] In recent clinical practice guidelines, Chou et al 28 strongly recommended peripheral nerve blocks as an important component of multimodal analgesia in surgeries such as TKA. However, a peripheral nerve block resolves within the first 36 h postoperatively, necessitating a transition to oral opioid analgesics for management of pain, which is typically severe following TKA.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing orthopedic nurses’ pain management: A focused ethnography

Denness

Carr

Seneviratne

et al. 2017

Canadian Journal of Pain

View full text Add to dashboard Cite

Aim: The aim of this study was to explore the factors influencing orthopedic surgery nurses' decisions to administer pro re nata (PRN) opioid analgesia for postoperative pain. Background: Fast-track surgery programs reduce length of stay by identifying and addressing factors causing patients to remain in hospital, including pain (H. Kehlet, Lancet. 2013;381:9878 (9878)). The management of acute pain is an important component of quality care for patients after total knee arthroplasty. Methods: The study used a qualitative design of focused ethnography. Ten nurses working on an orthopedic surgery unit at a large urban hospital in western Canada participated in semistructured interviews that used a patient vignette to examine factors that influenced participants' pain management in the context of fast-track surgery. Interviews were transcribed and analyzed using thematic analysis and constant comparison. Findings: Nurses described a complex clinical environment where the interplay of several factors informed decisions to administer PRN opioid analgesia. The unit's culture and physical space influenced nurses' assessments of pain and their decisions whether to treat pain with PRN opioids. Each nurse's self-concept affected pain management decisions because of perceived importance of pain control and perceived duty to provide analgesics. The subjectivity of pain added another layer of complexity as nurses responded to the patient's expression of pain from within the milieu of the unit culture and their unique self-concept. Conclusion: Understanding the complexity of factors that influence nurses' postoperative pain management provides clinical nurses and nursing leaders with directions for future education and research, guided by the goal of continued improvement in pain management in the challenging setting of fast-track surgeries. RÉSUMÉBut: Étudier les facteurs qui influencent la décision des infirmières en chirurgie orthopédique d'administrer des analgésiques opiacés pro re nata pour la douleur postopératoire. Contexte: Les programmes de chirurgie accélérée réduisent la durée du séjour en cernant les facteurs qui font en sorte que les patients restent à l'hôpital, dont la douleur, et en y apportant des réponses (Kehlet, 2013). La gestion de la douleur aigue est une composante importante de la qualité des soins pour les patients après une arthroplastie totale du genou. Méthodes: L'étude a eu recours à un devis qualitatif d'ethnographie focalisée. Dix infirmières travaillant dans l'unité de chirurgie orthopédique d'un grand hôpital urbain de l'Ouest du Canada ont participé à des entrevues semi-structurées qui avaient recours à une vignette de patient pour examiner les facteurs influençant la gestion de la douleur dans le contexte d'une chirurgie accélérée. Les entrevues ont été transcrites et analysées au moyen d'une analyse thématique et de la méthode de comparaison constante. Résultats: Les infirmières ont décrit un environnement clinique complexe où l'interaction de plusieurs facteurs était à l'origine ...

show abstract

Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Committee, and Administrative Council

Cited by 2,248 publications

References 274 publications

El tratamiento del dolor posoperatorio ¿Un problema sin resolver?

El tratamiento del dolor posoperatorio ¿Un problema sin resolver?

Nursing care of the patient undergoing lumbar spinal fusion

Factors influencing orthopedic nurses’ pain management: A focused ethnography

Contact Info

Product

Resources

About