Reduced narcotic and sedative utilization in a NICU after implementation of pain management guidelines
| Autor: | Ajay J. Talati, A. J. Kaplan, N. T. Owens, Ramasubbareddy Dhanireddy, E. L. Arrindell, Divya Rana, J. Sahni, B. Bellflower |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Narcotic medicine.drug_class health care facilities manpower and services medicine.medical_treatment education MEDLINE Gestational Age 03 medical and health sciences Benzodiazepines 0302 clinical medicine 030225 pediatrics Intensive Care Units Neonatal Medicine Humans Hypnotics and Sedatives Pain Management Pain Measurement Retrospective Studies business.industry Infant Newborn Obstetrics and Gynecology Gestational age Retrospective cohort study Pain management medicine.disease Respiration Artificial Analgesics Opioid Sedative Pediatrics Perinatology and Child Health Emergency medicine Practice Guidelines as Topic Female Medical emergency business Respiratory Insufficiency 030217 neurology & neurosurgery |
| Zdroj: | Journal of perinatology : official journal of the California Perinatal Association. 37(9) |
| ISSN: | 1476-5543 |
| Popis: | To assess the opioid and benzodiazepine usage in a level IV NICU after implementation of pain guidelines.Guidelines were developed for infants undergoing surgical procedures and infants on mechanical ventilation. Data collected for period 1 (July to December 2013) and period 2 (March to August 2014).Gestational age, birth weight and infants with hypoxic respiratory failure or requiring major procedures were comparable in two periods. Number of patients exposed to opioids decreased from 62.9% (129/205) in period 1 to 32.8% (82/250) in period 2, P=0.001. Cumulative dose exposure decreased, opioids in morphine equivalent dose, mg kgEvidence-based guidelines led to significant reduction in opioids and sedatives exposure, and in the number of infants requiring methadone for iatrogenic narcotic dependence. |
| Databáze: | OpenAIRE |
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