scholarly journals Is It Time for Paradigm Shift in Pain Management for Cardiac Surgery Patients?

2021 ◽  
pp. 108925322110584
Author(s):  
Kathirvel Subramaniam ◽  
Ibrahim Sultan ◽  
Nathaen Weitzel ◽  
Miklos D. Kertai
Keyword(s):  
Cardiac Surgery ◽  
Pain Management ◽  
Paradigm Shift

scholarly journals Efficacy of bilateral pectoralis nerve block for ultrafast tracking and postoperative pain management in cardiac surgery

2018 ◽  
Vol 21 (3) ◽  
pp. 333 ◽  
Author(s):  
PS Nagaraja ◽  
KarthikNarendra Kumar ◽  
RavikumarNagashetty Kalyane ◽  
NaveenG Singh ◽  
Madhu Krishna ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Pain Management ◽  
Postoperative Pain ◽  
Nerve Block ◽  
Postoperative Pain Management

Pain management after cardiac surgery

2012 ◽  
pp. 458-464
Author(s):  
Siân I. Jaggar ◽  
Amod Manocha
Keyword(s):  
Cardiac Surgery ◽  
Pain Management

scholarly journals Post-surgical pain management: time for a paradigm shift

2019 ◽  
Vol 123 (2) ◽  
pp. e182-e186 ◽  
Author(s):  
Nicholas Levy ◽  
Patricia Mills ◽  
Mark Rockett
Keyword(s):  
Pain Management ◽  
Paradigm Shift ◽  
Surgical Pain

Opioid-Related Adverse Events: Incidence and Impact in Patients Undergoing Cardiac Surgery

2019 ◽  
Vol 24 (3) ◽  
pp. 219-226 ◽  
Author(s):  
Keith B. Allen ◽  
Ethan Y. Brovman ◽  
Adnan K. Chhatriwalla ◽  
Katherine J. Greco ◽  
Nikhilesh Rao ◽  
...  
Keyword(s):  
Health Care ◽  
Cardiac Surgery ◽  
Pain Management ◽  
Length Of Stay ◽  
Health Care Costs ◽  
Adverse Drug Events ◽  
Management Strategies ◽  
Coronary Bypass ◽  
Administrative Claims ◽  
Care Costs

Purpose. Opioid-related adverse drug events (ORADEs) increase patient length of stay (LOS) and health care costs. However, ORADE rates may be underreported. This study attempts to understand the degree to which ORADEs are underreported in Medicare patients undergoing cardiac surgery. Materials and Methods. The Center for Medicare and Medicaid Services administrative claims database was used to identify ORADEs in 110 158 Medicare beneficiaries who underwent cardiac valve (n = 50 525) or coronary bypass (n = 59 633) surgery between April 2016 and March 2017. The International Classification of Disease (ICD)-10 codes specifically linked to ORADEs were used to identify an actual ORADE rate, while additional ICD codes, clinically associated with butas not specific to adverse drug events were analyzed as potential ORADEs. Length of stay (LOS) and hospital daily revenue were analyzed among patients with or without a potential ORADE. Results. Among patients undergoing valve or bypass surgery, the documented ORADE rate was 0.7% (743/110 158). However, potential ORADEs may have occurred in up to 32.4% (35 658/110 158) of patients. In patients with a potential ORADE, mean LOS was longer (11.4 vs 8.2 days; P < .0001) and mean Medicare revenue/day was lower ($4016 vs $4412; P < .0001). The mean net difference in revenue/day between patients with and without an ORADE varied between $231 and $1145, depending on the Diagnosis-Related Group analyzed. Conclusions. ORADEs are likely underreported following cardiac surgery. ORADEs can be associated with increased LOS and decreased hospital revenue. Understanding the incidence and economic impact of ORADEs may expedite changes to postoperative pain management. Adopting multimodal pain management strategies that reduce exposure to opioids may improve outcomes by reducing complications, side effects, and health care costs.

Five-day pain management regimen using patient-controlled analgesia facilitates early ambulation after cardiac surgery

2010 ◽  
Vol 24 (2) ◽  
pp. 187-191 ◽  
Author(s):  
Yuta Izumi ◽  
Fumimasa Amaya ◽  
Koji Hosokawa ◽  
Hiroshi Ueno ◽  
Toyoshi Hosokawa ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Pain Management ◽  
Patient Controlled Analgesia ◽  
Early Ambulation

scholarly journals Optimising pain management protocols following cardiac surgery: A protocol for a national quality improvement study

2019 ◽  
Vol 14 ◽  
pp. 1-8 ◽  
Author(s):  
S. Jayakumar ◽  
M. Borrelli ◽  
Z. Milan ◽  
G. Kunst ◽  
D. Whitaker
Keyword(s):  
Cardiac Surgery ◽  
Quality Improvement ◽  
Pain Management ◽  
National Quality

Postoperative pain management in cardiac surgery patients

2019 ◽  
Vol 33 ◽  
pp. S142
Author(s):  
D. Unic-Stojanovic ◽  
S. Samardzic ◽  
L. Rankovic Nicic
Keyword(s):  
Cardiac Surgery ◽  
Pain Management ◽  
Postoperative Pain ◽  
Postoperative Pain Management

Pain Management after Cardiac Surgery

2020 ◽  
pp. 280-284
Author(s):  
Siân I. Jaggar ◽  
Helen C. Laycock
Keyword(s):  
Cardiac Surgery ◽  
Pain Management
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