Organization and role of acute pain services

Counsell, David; MacIntyre, P A; Breivik, Harald

doi:10.1201/b13562-57

Cited by 4 publications

(5 citation statements)

References 23 publications

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“…An APS with sufficient resources for education and training of ward nurses and other personnel taking care of post‐operative and obstetric patients, for quality assurance and monitoring of epidural practice, is a decisive success factor 18–21 …”

Section: Resultsmentioning

confidence: 99%

“… All hospitals with surgical activities requiring neuraxial blocks should have protocols and a robust monitoring regime for detecting the early signs and symptoms of intraspinal bleeding and a high alert for verification of diagnosis and evacuation of the haematoma 18–21,147,148 A single‐shot SPA with a small calibre spinal needle carries a lower risk of SH than insertion of an epidural catheter.…”

Section: Resultsmentioning

confidence: 99%

“…Recognition of early symptoms and signs is crucial 18–21 . Four symptoms should alert all medical personnel of the possibility of a developing SH:…”

mentioning

confidence: 99%

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Nordic guidelines for neuraxial blocks in disturbed haemostasis from the Scandinavian Society of Anaesthesiology and Intensive Care Medicine

Breivik

Bang

Jalonen

et al. 2009

Acta Anaesthesiol Scand

158

161

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Nordic guidelines for neuraxial blocks in disturbed haemostasis from the Scandinavian Society of Anaesthesiology and Intensive Care Medicine

Breivik

Bang

Jalonen

et al. 2009

Acta Anaesthesiol Scand

158

161

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“…12 This is especially true for the patients that anaesthetists care for every day, those with acute pain after surgery, trauma, and in the intensive care unit. 14…”

Section: Face -Legs-activity -Cry-consolabilitymentioning

confidence: 99%

Assessment of pain

Breivik

Borchgrevink

Allen³

et al. 2008

British Journal of Anaesthesia

1,673

1,141

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Measurement, and Pain Assessment in Clinical Trials recommendations for outcome measurements of chronic pain trials are also useful for routine assessment. Cancer pain assessment is complicated by a number of other bodily and mental symptoms such as fatigue and depression, all affecting quality of life. It is noteworthy that quality of life reported by chronic pain patients can be as much affected as that of terminal cancer patients. Any assessment of pain must take into account other factors, such as cognitive impairment or dementia, and assessment tools validated in the specific patient groups being studied.

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“…This is a challenge for leaders in all hospitals, and the most immediate solutions to improving the quality of pain management may be at an organizational level (29). Furthermore, the importance of the Acute Pain Service (APS) in improving postoperative pain management is emphasized by many authors (5, 33–36), and an ongoing educational programme for patients and health care providers seems to be a key factor for success (33). Another important matter is to develop evidence‐based clinical practice guidelines involving information on goals of pain treatment, assessment of pain, education of patients and structure of an APS (8).…”

Section: Discussionmentioning

confidence: 99%

Attitudes, beliefs and self‐reported competence about postoperative pain among physicians and nurses working on surgical wards

Rognstad

Fredheim

Johannessen

et al. 2012

Scandinavian Caring Sciences

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Scand J Caring Sci; 2012; 26; 545-552 Attitudes, beliefs and self-reported competence about postoperative pain among physicians and nurses working on surgical wards Aims: To investigate attitudes, beliefs and self-reported competence with regard to pain management in nurses and physicians on surgical wards. Interprofessional differences between physicians and nurses were also examined. Methods: A total of 795 physicians and nurses from different surgical departments in Norway were invited to complete a questionnaire measuring attitudes, beliefs and self-reported competence about postoperative pain. Findings: In total, 128 physicians and 407 nurses completed the questionnaire (response rate 68%). Of these, 77% of physicians and 57% of nurses reported more than 4 years' work experience with postoperative pain. Most of the physicians (95%) and nurses (86%) reported that patients 'often' or 'very often' achieved satisfactory pain relief. Overall, 69% of the sample evaluated themselves as being highly competent or competent in treating nociceptive pain, while only 16% reported they were highly competent or competent in treating neuropathic pain. There were no statistically significant differences between the professions regarding their self-reported competence in pain management, and nurses and physicians only differed on three out of 18 conditions regarding their appraisal of conditions related to postoperative pain management after controlling for years of experience. Only 20% of respondents were satisfied with the annual updates for staff about pain relief for patients with postoperative pain. Conclusions: Even though the majority of physicians and nurses described themselves as competent in management of nociceptive pain, and thought that patients often or very often achieved satisfactory pain relief, the respondents reported dissatisfaction with the annual updates in pain management and poor competence in treatment of neuropathic pain.

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Organization and role of acute pain services

Cited by 4 publications

References 23 publications

Nordic guidelines for neuraxial blocks in disturbed haemostasis from the Scandinavian Society of Anaesthesiology and Intensive Care Medicine

Nordic guidelines for neuraxial blocks in disturbed haemostasis from the Scandinavian Society of Anaesthesiology and Intensive Care Medicine

Assessment of pain

Attitudes, beliefs and self‐reported competence about postoperative pain among physicians and nurses working on surgical wards

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