Pain management using patient controlled anaesthesia in adults post Nuss procedure: an analysis with respect to patient satisfaction

Kolvekar, Shyamsunder; Pilegaard, Hans K.; Ashley, E; Simon, Natalie; Grant, Joseph L.

doi:10.21037/jovs.2016.02.33

Cited by 4 publications

(3 citation statements)

References 13 publications

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“…There is also documented evidence pointing to the fact that there are numerous challenges with POP management that is more profound in developing countries as a result of inadequate resource allocations for pain management ( Kizza, Muliira, Kohi, & Nabirye, 2016 ; Murray & Retief, 2015; Woldehaimanot, Eshetie, & Kerie, 2014 ). Half the number of postoperative patients still report inadequate pain management despite efforts from worldwide authorities in creating awareness on the effects of inadequate POP management ( Admassu, Hailekiros, & Abdissa, 2016 ; Albrecht et al., 2013 ; Chou et al., 2016 ; Fletcher et al., 2015 ; Kolvekar, Pilegaard, Ashley, Simon, & Grant, 2016 ; Lorentzen, Hermansen, & Botti, 2012 ). Inadequate assessment and documentation is attributed to the high incidence of acute pain experienced by patients.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Attitudes, and Practices of Postoperative Pain Management by Nurses in Selected District Hospitals in Ghana

et al. 2018

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Introduction: There is documented evidence pointing to the fact that there are numerous challenges with postoperative pain (POP) management globally. However, these challenges with POP management are more profound in developing countries. Purpose: The purpose of this study is to examine the knowledge, attitude, and practices of nurses concerning POP management in four selected district hospitals in Ghana. Methodology: A descriptive, cross-sectional survey was employed to evaluate nurse's knowledge, attitude, and practices pertaining to POP management. Multistaged sampling was used to draw the respondents. An adapted version of the Nurses Knowledge and Attitudes Survey Regarding Pain instrument was used to test the knowledge, attitude, and practices of nurses and midwives. Descriptive statistics were used to analyze the data in order to present quantitative descriptions of variables in this study. Results: This study showed that nurses in the four district hospitals had knowledge deficits regarding POP management. Eighty-one representing 48% of nurses had low knowledge on POP management. An overwhelming majority of nurses (97.6%) relied on routinely rendered basic nursing skills to relieve POP and a few used pharmacological interventions. However, nurses had good attitudes toward POP management. Conclusions: POP is ineffectively managed by nurses in district hospitals in Ghana. Nurses and midwives in Ghana need to adhere to best practices in POP management by increasing their theoretical and practical knowledge, so that there will be tangible positive change in POP management in Ghana. Recommendations: Nurses must be empowered through continuous development programs to keep abreast with changing trends that pertain to POP management.

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Section: Introductionmentioning

confidence: 99%

Knowledge, Attitudes, and Practices of Postoperative Pain Management by Nurses in Selected District Hospitals in Ghana

et al. 2018

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“…13 El consumo de opioides, a su vez, está asociado a efectos adversos como: náuseas, vómitos, retención urinaria y estreñimiento. 15,16 El manejo del dolor posterior a los procedimientos de Nuss, basado unicamente en analgésicos intravenosos, no ha arrojado beneficios claros. Los casos reportados suelen ser escasos y contradictorios, y no se considera una opción razonable, teniendo otros medios analgésicos al alcance.…”

Section: Discussionunclassified

Use of the bilateral erector spinae (ESP) block for postoperative analgesia following the removal of the Nuss bar

Herrera-Mora¹,

Mojica-Manrique

Salas-González³

2019

Colombian Journal of Anesthesiology

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Introducción: El bloqueo erector de la espina (ESP) es un bloqueo interfascial relativamente nuevo, sobre el cual se han descrito diferentes aplicaciones, tanto en cirugías abdominales como torácicas. Presentación del caso: Paciente de 17 años programado para el retiro de una barra de Nuss por minitoracotomía, a quien, después de la inducción anestésica, se le realizó un bloqueo ESP bilateral guiado con ecografía, y en su posoperatorio inmediato y seguimiento a las 48 horas no reportó dolor alguno. Conclusión: El bloqueo ESP bilateral parece ser prometedor, de fácil realización y apunta a ser una alternativa aceptable al catéter epidural (estándar de oro en el manejo analgésico en cirugías de tórax), por la cual se obtiene analgesia adecuada y libre de opioides.

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“…However, this has fallen out of favor due to the incidence of rare neurologic complications (5,6) and the increased length of stay associated with epidural analgesia (3). More recently, many institutions favor the use of patient-controlled analgesia (PCA) with opioid medications (7). While opioids are effective, excessive use can have numerous adverse effects including nausea/ vomiting, constipation, urinary retention, and respiratory depression, as well as the potential for long term opioid dependence (8).…”

Section: Introductionmentioning

confidence: 99%

A multimodal protocol utilizing liposomal bupivacaine rib blocks leads to opioid reduction in patients undergoing the Nuss procedure

Eubanks¹,

Grabski²,

Pollack³

et al. 2021

J Thorac Dis

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Pain management using patient controlled anaesthesia in adults post Nuss procedure: an analysis with respect to patient satisfaction

Cited by 4 publications

References 13 publications

Knowledge, Attitudes, and Practices of Postoperative Pain Management by Nurses in Selected District Hospitals in Ghana

Knowledge, Attitudes, and Practices of Postoperative Pain Management by Nurses in Selected District Hospitals in Ghana

Use of the bilateral erector spinae (ESP) block for postoperative analgesia following the removal of the Nuss bar

A multimodal protocol utilizing liposomal bupivacaine rib blocks leads to opioid reduction in patients undergoing the Nuss procedure

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