Related Experiment Video

Updated: Feb 27, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
05:39

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

Published on: May 26, 2023

2.5K

Thoracostomy Tube Removal: Implementation of a Multidisciplinary Procedural Pain Management Guideline

Lisa M Ring, Anne Watson

    Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners
    |July 10, 2017
    PubMed

    Insights

    A new guideline improved nursing knowledge and compliance for managing pain during thoracostomy tube removal in pediatric heart surgery patients. This ensures better procedural pain management for these young patients.

    Area of Science:

    • Pediatric Cardiothoracic Surgery
    • Pain Management
    • Clinical Practice Guidelines

    Background:

    • Thoracostomy tubes are essential post-cardiothoracic surgery for congenital heart defect repair/palliation.
    • Effective pain management during tube removal is critical for pediatric patients.

    Purpose of the Study:

    • To develop and implement a clinical practice guideline for optimal analgesia during thoracostomy tube removal.
    • To improve pain management in pediatric postoperative cardiothoracic surgery patients.

    Main Methods:

    • Nonexperimental design with chart audits and procedure note evaluation.
    • Assessed baseline documentation and guideline compliance.
    • Nurses completed knowledge tests and post-implementation surveys.

    Main Results:

    • Significant increase in nursing knowledge regarding the guideline.
    • Observed improvement in documentation compliance.
    • Demonstrated nursing satisfaction and guideline feasibility.

    Conclusions:

    • The project successfully enhanced nursing knowledge of pain management resources.
    • The implemented guideline improved procedural pain management for pediatric patients undergoing thoracostomy tube removal.
    Abstract

    Keywords:
    pain managementpediatricspostoperativethoracostomy

    More Related Videos

    A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery07:14

    A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery

    Published on: January 18, 2018

    10.0K
    Subcostal Specimen Removal in Completely Portal Robotic Lobectomy04:38

    Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

    Published on: April 19, 2024

    778

    Related Concept Videos

    Tracheostomy Care I: Pre-procedural Steps01:16

    Tracheostomy Care I: Pre-procedural Steps

    A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
    Required Equipment
    The equipment necessary for tracheostomy care includes:
    1.5K
    Endoscopic Studies II: Thoracocentesis01:26

    Endoscopic Studies II: Thoracocentesis

    Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
    Description
    Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
    1.7K
    Tracheostomy Suctioning I: Pre-Procedural Steps01:26

    Tracheostomy Suctioning I: Pre-Procedural Steps

    Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
    Equipment Required
    First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
    2.7K
    Tracheostomy Decannulation01:21

    Tracheostomy Decannulation

    Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
    Description of the Procedure
    Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
    1.9K
    Peripheral Artery Disease V: Postoperative Nursing Management01:23

    Peripheral Artery Disease V: Postoperative Nursing Management

    During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
    462
    Tracheostomy Suctioning II: Procedure01:23

    Tracheostomy Suctioning II: Procedure

    Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
    2.3K