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- Title
Cardiopulmonary Resuscitation Related Musculoskeletal Pain Management in Ventilated Patients.
- Authors
Runcie, L.; MacDonald, V.
- Abstract
Post-cardiac arrest patients who receive cardiopulmonary resuscitation (CPR) and remain mechanically ventilated after the return of spontaneous circulation (ROSC), who may or may not be treated with therapeutic hypothermia, experience musculoskeletal chest pain related to resuscitation. Pain management is currently provided on an as needed basis according to physical assessment findings, tradition, nursing experience and professional judgment within the boundaries of a standing order. Pain management becomes very difficult when patients are not able to communicate verbally and/or maybe sedated and chemically paralyzed. Currently, the New Brunswick Heart Centre (NBHC) does not have a pain management protocol for this patient population. In this presentation, we will explore the current literature to understand the importance of effective pain management in decreasing length of stay and improving quality of life for this patient population. We will also outline a pain management protocol that is reflective of current best research for analgesic and scheduling according to patient-specific needs such as vital signs, concurrent therapies and nonverbal indicators of pain. We will conclude with a draft protocol for pain management in post-CPR ventilated patients for use at the NBHC.
- Subjects
PAIN; PREVENTIVE medicine; CARDIOPULMONARY resuscitation; PATIENTS; MECHANICAL ventilators
- Publication
Canadian Journal of Cardiovascular Nursing, 2016, Vol 26, Issue 3, p6
- ISSN
0843-6096
- Publication type
Article