Related Experiment Video
Updated: Jul 5, 2025
14:56
An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
21.4K
Acute Perioperative Pain Management of the Orthopaedic Patient: Guidance for Operationalizing Evidence Into Practice
Molly A McNaughton1,2,3,4, Ann Quinlan-Colwell1,2,3,4, Mary T Lyons1,2,3,4
1Molly A. McNaughton, MAN, CNP-BC, PMGT-BC, AP-PMN, Nurse Practitioner, M Health Fairview Pain Management Center, Burnsville, MN.
Orthopedic Nursing
|January 24, 2024
Summary
Effective pain management after orthopaedic surgery is crucial for patient recovery. This study details evidence-informed strategies to improve pain relief and reduce negative outcomes, addressing common clinical challenges.
Area of Science:
- Orthopaedic Surgery
- Pain Management
- Healthcare Delivery
Background:
- Orthopaedic surgery frequently leads to inadequate pain relief in over half of patients.
- Unmanaged postoperative pain is linked to numerous adverse outcomes, including delayed healing, increased morbidity, and chronic pain development.
- Effective pain management is essential for optimizing patient recovery and healthcare system efficiency.
Purpose of the Study:
- To outline principles for effective pain management in orthopaedic surgery.
- To provide evidence-informed recommendations from preoperative assessment to discharge.
- To address barriers and challenges in implementing pain management strategies.
Main Methods:
- Review of current evidence and best practices in postoperative pain management.
- Development of individualized, evidence-informed intervention strategies.
- Focus on ethical frameworks for healthcare delivery.
Main Results:
- Inadequate pain relief affects a significant portion of orthopaedic surgery patients.
- Postoperative pain management is critical to prevent negative sequelae.
- Individualized and evidence-informed interventions improve patient outcomes.
Conclusions:
- Implementing comprehensive pain management strategies is vital for improving patient care in orthopaedic surgery.
- Addressing barriers to effective pain management is key to successful clinical practice.
- Evidence-informed, ethical approaches enhance healthcare delivery and patient recovery.
Related Concept Videos
01:25Analgesia and Pain Management
623
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
623
01:15Opioid Analgesics: Synthetic and Semisynthetic Opioids
300
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
300
01:29Blood and Nerve Supply to the Bones
11.0K
Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
11.0K
01:29Local Anesthetics: Clinical Application as Epidural Anesthesia
432
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
432
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
88
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
88
01:24General Anesthesia: Overview
219
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
219