Abstract:
:The purpose of preemptive analgesia is to reduce postoperative pain, contributing to a more comfortable recovery period and reducing the need for narcotic pain control. The efficacy of preemptive analgesia remains controversial. This systematic review of the literature evaluated the efficacy of nonsteroidal anti-inflammatory drugs (NSAIDs), cyclooxygenase-2 (COX-2) inhibitors, and gabapentin as preemptive oral analgesics for surgical patients. Included articles were limited to studies of adult patients that compared the difference in postoperative pain between control and treatment groups. Of 40 studies reviewed, 14 met the inclusion criteria, including two on NSAIDs, four on COX-2 inhibitors, and eight on gabapentin. Research was predominantly conducted outside the United States. Gabapentin and COX-2 inhibitors were found to be the most effective preemptive analgesics for postoperative pain control. As part of a collaborative team, perioperative nurses and certified RN anesthetists are responsible for ongoing pain assessment and management for preemptive analgesic interventions.
journal_name
AORN Jjournal_title
AORN journalauthors
Penprase B,Brunetto E,Dahmani E,Forthoffer JJ,Kapoor Sdoi
10.1016/j.aorn.2014.01.030subject
Has Abstractpub_date
2015-01-01 00:00:00pages
94-105.e8issue
1eissn
0001-2092issn
1878-0369pii
S0001-2092(14)01090-4journal_volume
101pub_type
杂志文章,评审相关文献
AORN JOURNAL文献大全abstract::Approximately 900 surgical site infections (SSIs) were reported to the Wisconsin Division of Public Health annually from 2013 to 2015, representing the most prevalent reported health care-associated infection in the state. Personnel at the Wisconsin Division of Public Health launched an SSI prevention initiative in Ma...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.12123
更新日期:2018-05-01 00:00:00
abstract::KNOWLEDGE OF FIRE PREVENTION and fire safety is essential for every OR staff member. In the event of a surgical fire, the quick and knowledgeable response of surgical team members will affect their own safety and that of their patients. A NEW FIRE SAFETY PLAN was developed at Peninsula Regional Medical Center, Salisbu...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(06)60820-x
更新日期:2004-04-01 00:00:00
abstract::The effects of the disability have decreased over the years as methods of habilitation have improved--the now successful surgical techniques followed by more normal development. The battle is not over, though, because society still attaches a stigma to this anomaly and the speech and hearing handicaps that can result....
journal_title:AORN journal
pub_type: 杂志文章
doi:
更新日期:1985-10-01 00:00:00
abstract::One of the most troublesome ethical dilemmas that perioperative nurses face is do-not-resuscitate (DNR) orders for surgical patients. The principles of futility, informed consent, autonomy, and beneficence underpin ethical decision making about DNR orders in surgical patients. ...
journal_title:AORN journal
pub_type: 杂志文章,评审
doi:10.1016/s0001-2092(07)62778-1
更新日期:1994-09-01 00:00:00
abstract::Recent media reports have put a spotlight on the increasing number of medical errors occurring in US health care institutions. In contrast to health care's increasing error rate, the aviation industry is experiencing a decreasing error rate. Could the safety techniques used in the aviation industry be applied to healt...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(06)61385-9
更新日期:2003-01-01 00:00:00
abstract::This project investigated parents' and caregivers' perceptions of the fast-track surgery process with regard to their child's surgical procedure and hospital stay. The goal of this project was to review and improve the fast-track process. Participants were parents/caregivers of pediatric patients (ie, younger than 18 ...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2008.11.029
更新日期:2009-04-01 00:00:00
abstract::To estimate the prevalence, risk factors, and clinical spectrum of adverse reactions to natural rubber latex-containing products among a national sample of perioperative nurses, the investigators administered a self-reporting questionnaire to a convenience sample of 2,200 members of the Association of Operating Room N...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(07)63329-8
更新日期:1994-11-01 00:00:00
abstract::Staffing shortages among professionals in specialized health care and clinical situations that demand around-the-clock care make it challenging to address staff member fatigue. Many industries have developed restrictions on work hours to help reduce the effects of fatigue on safety. The perioperative specialty, howeve...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2017.01.003
更新日期:2017-03-01 00:00:00
abstract::International experiences with operative repair of fibrous strictures indicate that satisfactory results are obtained with 80% to 85% of patients at least three years after the stent is removed. Although opinion regarding the length of time stents should be left in place is not unanimous, stents usually can be removed...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(07)66745-3
更新日期:1990-10-01 00:00:00
abstract::Growth arrests may occur after fractures, burns, and frostbite injuries, but children generally have a better prognosis from most hand and forearm injuries than adults. Stiffness is less frequent, open wounds heal faster, remodeling of angular deformities may occur, and nerve recovery following repair is significantly...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(07)68840-1
更新日期:1988-08-01 00:00:00
abstract::The safety and security points discussed in this article are only a few of the awareness tips that can add to your personal safety. When reporting to work, especially during odd hours, be suspicious of all activities. Ask yourself, "What if?" Becoming a victim or not becoming a victim is easy. ...
journal_title:AORN journal
pub_type: 杂志文章
doi:
更新日期:1989-08-01 00:00:00
abstract::Craniofacial injuries are the result of deceleration, blunt, or penetrating trauma. Depending on the mechanism of injury, craniofacial fractures can be minor and go undetected, or they can produce devastating facial deformities. With the advent of intermaxillary fixation devices, surgeons can manipulate facial bone st...
journal_title:AORN journal
pub_type: 杂志文章,评审
doi:10.1016/s0001-2092(06)63052-4
更新日期:1996-09-01 00:00:00
abstract::Individuals with debilitating facial injuries and deformities have achieved significant improvement of aesthetic form and function after undergoing a face transplantation. The involvement of surgical technologists and perioperative nurses in the care of the recipient and donor plays a critical role in the success of t...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2017.05.004
更新日期:2017-07-01 00:00:00
abstract::Organ donation after cardiac death is an ethical and acceptable practice of providing organs for transplantation. Organ recovery, the removal of life support, and patient death occur in the OR, and, because family members are not present, some feel that they have abandoned their loved one. This article reports a case ...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2012.04.017
更新日期:2012-07-01 00:00:00
abstract::The intra-aortic balloon pump (IABP) is a commonly used circulatory-assist device that increases myocardial oxygen supply and reduces myocardial oxygen demand, thus improving left ventricular function. The inflation and deflation pattern of the IABP is the opposite of the heart's rhythm. As the heart rests, the balloo...
journal_title:AORN journal
pub_type: 杂志文章,评审
doi:10.1016/s0001-2092(06)60096-3
更新日期:2006-07-01 00:00:00
abstract::Nursing performance, or the skills a nurse exhibits in practice, is limited by the extent or level of a nurse's knowledge base; hence, the expression "nurses are what nurses do" probes nurses' levels of satisfaction with their present educational status. Given the rapid changes in health care today, nurses are questio...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(06)60071-9
更新日期:2005-01-01 00:00:00
abstract::Intraoperative radiation therapy (IORT) is a treatment option that directly irradiates a surgically exposed tumor or tumor bed while preventing radiation exposure of normal tissues. This article discusses the high-dose-rate intraoperative radiation therapy (HDR-IORT) technique by reviewing the roles of IORT team membe...
journal_title:AORN journal
pub_type: 杂志文章,评审
doi:10.1016/j.aorn.2007.07.002
更新日期:2007-11-01 00:00:00
abstract::Allograft bone (i.e., bone that is obtained from a donor) implantation is used for bone replacement and for reconstructing serious bone defects during total joint revision surgery. It is also used for bone replacement after large excisions of bone tumors. An extensive variety of laboratory tests must be completed, app...
journal_title:AORN journal
pub_type: 杂志文章,评审
doi:10.1016/s0001-2092(06)62441-1
更新日期:1999-10-01 00:00:00
abstract::Video-assisted thoracoscopic surgery is a new approach that offers an alternative to open surgical ligation of the patient ductus arteriosus. Advanced video technology precise pediatric instrumentation, and innovative surgical techniques have facilitated the development of this approach. From April 1993 to February 19...
journal_title:AORN journal
pub_type: 历史文章,杂志文章
doi:10.1016/s0001-2092(06)63620-x
更新日期:1996-10-01 00:00:00
abstract::Many people in Southeast Asia are in desperate need of medical attention, but because of poverty, remoteness, and inadequate medical services, they do not receive this care. Beginning in April 2006, a diverse group of health care professionals from around the world served for five months aboard the USNS Mercy, a 1,000...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2007.10.004
更新日期:2007-11-01 00:00:00
abstract::Effective patient positioning has been an important issue throughout the history of the nursing profession. Pressure ulcers result from prolonged pressure, which causes skin, tissue, or muscle damage. Surgical patients present a unique challenge in preventing pressure ulcers because they are immobile and unable to per...
journal_title:AORN journal
pub_type: 杂志文章,评审
doi:10.1016/s0001-2092(06)61960-1
更新日期:2001-03-01 00:00:00
abstract::Family-centered care is an accepted and promoted philosophy within the health care community. Perioperative nurses are empowered to support change in the health care arena and to examine and institute policies that affect patient care. This study examined the feasibility of family presence in the OR during breast biop...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2008.01.001
更新日期:2008-10-01 00:00:00
abstract::There are three elements to consider with in vitro fertilization. First, the paramount concern needs to be the well-being and best interests of the child, even though he or she may be an embryo at the time. Second, some people think a child will solve their marital problems. Although couples seeking in vitro fertiliza...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(07)69891-3
更新日期:1990-09-01 00:00:00
abstract::A number of deaths from pulmonary embolism caused by deep vein thrombosis (DVT) have been attributed to long-distance airplane travel. Although airplanes provide the most convenient means of long-distance travel, the aircraft environment can take a physical toll on passengers. This article describes the causes and ris...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(06)61204-0
更新日期:2003-02-01 00:00:00
abstract::AORN conducted its fifth annual compensation survey for perioperative nurses in August of 2007. A multiple regression model was used to examine how a variety of variables including job title, education level, certification, experience, and geographic region affect nursing compensation. Comparisons between 2007 and pre...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2007.11.024
更新日期:2007-12-01 00:00:00
abstract::The use of scientific evidence to support national recommendations about clinical decisions has become an expectation of multidisciplinary health care organizations. The objectives of this project were to identify the most applicable evidence-rating method for perioperative nursing practice, evaluate the reliability o...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2010.11.034
更新日期:2011-04-01 00:00:00
abstract::Preoperative patient fasting is an essential element of the patient preparation process, but patients may be fasting for excessive lengths of time. Investigators at one facility used semi-structured interviews to explore the knowledge and beliefs of patients, nurses, and anesthesia care providers regarding the practic...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2007.09.003
更新日期:2007-10-01 00:00:00
abstract::Most OR nurses whether veteran or novice have had some exposure to organ donation; however, few are aware of what occurs outside of the surgical setting. This article provides an overview of the entire donation process, from the hours before the procedure to the steps needed for successful recovery. Particular attenti...
journal_title:AORN journal
pub_type: 杂志文章,评审
doi:10.1016/s0001-2092(06)62351-x
更新日期:1999-04-01 00:00:00
abstract::We formed an interdisciplinary team to create a standardized, evidence-based protocol that would reduce cesarean delivery surgical site infection rates at our tertiary teaching facility. The Joint Commission's current implementation guide for surgical site infections, although comprehensive, does not specifically addr...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.12371
更新日期:2018-10-01 00:00:00
abstract::A new development in spinal surgery uses cylindrical fusion devices for fixation and fusion. Two products, which involve differing procedures, instrumentation, and implants, have been used for more than two years and are becoming more popular as excellent fusion and recovery rates have been reported. This article disc...
journal_title:AORN journal
pub_type: 历史文章,杂志文章
doi:10.1016/s0001-2092(06)62376-4
更新日期:1998-11-01 00:00:00