The effectiveness of using range order opioid analgesic management approach for the prevention of Opioids-Induced Advancing Sedation (OIAS) in patients after thoracic surgery
Keywords:
Opioids, Range order, Thoracic surgeryAbstract
Background: Managing pain using opioids through a range of prescriptions is flexible. So that nurses can use opioids to control pain in each patient. Therefore, the administration of opioids is inappropriate, including frequency, size, and without consideration of other risk factors in patients that cause opioid overdose and there is no continuous monitoring. This resulted in the incidence of the complications to be Opioids-Induced Advancing Sedation (OIAS)
Objectives: To study the results of using guidelines for administering range order opioids to prevent OIAS in post-thoracic surgery patients.
Method: It is developmental research. This is the phase of testing the effectiveness of the guidelines (Step 8 of the National Health and Medical Research Council's Clinical Guideline Development Conceptual Australia Framework). The sample group is Thoracic surgery patients receiving epidural opioid pain relievers There were 62 people aged 18-60 years, divided into a control group and an experimental group, 31 people each. Data were collected by following up prospectively and comparing the results with traditional care. Data were analyzed using descriptive statistics. and independent statistics.
Results: The mean pain scores between the control group and the experimental group 24 hours after surgery were not significantly different at the .05 level, but after 48 hours and 72 hours of surgery, the mean pain scores between the control group and the experimental group were not significantly different at the .05 level. Statistically significantly different (p < .05). The number of OIAS events decreased from 6 times to 1 time and when comparing the differences. It was found that there was a statistically significant difference (p < .05).
Conclusion: Guidelines for administering opioid pain relievers in phases Helps reduce and prevent the occurrence of OIAS in patients after thoracic surgery.
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