Articles: pain-management.
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Complement Ther Med · Dec 2013
Randomized Controlled TrialEffects of music therapy on pain and anxiety in patients undergoing port catheter placement procedure.
Patients scheduled to invasive medical procedures experience high levels of anxiety, which may lead to increased perceptions of pain and vital sign instability throughout. ⋯ During invasive medical procedures, MI significantly decreases stress hormone levels, physiological parameters, acute procedural pain and anxiety.
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Eur Heart J Acute Cardiovasc Care · Dec 2013
Evaluation of a clinical pathway for sedation and analgesia of mechanically ventilated patients in a cardiac intensive care unit (CICU): The Brigham and Women's Hospital Levine CICU sedation pathways.
Intravenous sedation and analgesia are important therapies during mechanical ventilation (MV). However, daily interruption of these medications is associated with improved outcomes in mechanically ventilated patients. We tested a clinical pathway for the use of sedation and analgesia during MV in a cardiac intensive care unit (CICU). ⋯ Implementation of a pragmatic pathway for sedation and analgesia in a CICU was associated with an increase in the daily interruption of sedation and a corresponding decrease in the duration of MV days and the need for neuroimaging.
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J. Perianesth. Nurs. · Dec 2013
ReviewPain management of children aged 5 to 10 years after adenotonsillectomy.
The undertreatment of pediatric pain has been widely researched and continues to be a concern for health care professionals. Adenotonsillectomy is a common pediatric surgery associated with a moderate-to-high level of postoperative pain. The purpose of this study was to increase understanding of the current pain management practices provided to children aged 5 to 10 years undergoing adenotonsillectomy and identify areas for improvement. ⋯ The combination of drug therapy and parental presence may be helpful in decreasing pain and postanesthesia care unit length of stay. Exploration of the role of nonpharmacologic pain management techniques such as distraction, guided imagery, music, and the use of ice collars in conjunction with analgesic therapy is needed.