Effect of Standing Intravenous Acetaminophen on Postoperative Opioid Exposure in a Pediatric Cardiac Intensive Care Unit

被引:5
|
作者
Torres, Chelsea M. [1 ,2 ]
Geneslaw, Andrew S. [3 ]
Svoboda, Leanne [4 ]
Smerling, Arthur J. [3 ]
Metitiri, Katherine R. Schlosser [3 ]
机构
[1] Columbia Univ, Dept Pediat, Irving Med Ctr, New York Presbyterian Morgan Stanley Childrens Ho, New York, NY 10027 USA
[2] Univ S Florida, Dept Pediat, Div Gen Acad Pediat, 2 Tampa Gen Circle,5th Floor, Tampa, FL 33606 USA
[3] Columbia Univ, Irving Med Ctr, Dept Pediat, Div Crit Care & Hosp Med,New York Presbyterian Mo, New York, NY USA
[4] New York Presbyterian Morgan Stanley Childrens Ho, Dept Pharm, New York, NY USA
来源
JOURNAL OF PEDIATRICS | 2023年 / 255卷
关键词
NONSTEROIDAL ANTIINFLAMMATORY DRUGS; SURGERY; PARACETAMOL; METAANALYSIS; ANALGESICS; PAIN;
D O I
10.1016/j.jpeds.2022.12.003
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
This study assessed the association between standing intravenous acetaminophen and opioid exposure after cardiac surgery. Before vs after implementation of a standardized pain pathway, we report decreased opioid exposure, 0.38 milligram per kilogram of morphine equivalents [IQR 0.10-0.81] vs 0.26 milligram per kilogram of morphine equivalents [0.09-0.56] (P =.01) and increased acetaminophen exposure, 3 [2-4] vs 4 [4-5] doses (P <.001).
引用
收藏
页码:236 / +
页数:6
相关论文
共 50 条
  • [41] Pediatric Delirium in the Cardiac Intensive Care Unit: Identification and Intervention
    Bryant, Kristen J.
    CRITICAL CARE NURSE, 2018, 38 (04) : E1 - E7
  • [42] Simulation as an Educational Tool in the Pediatric Cardiac Intensive Care Unit
    Tarif A. Choudhury
    Jonathan N. Flyer
    Mary E. McBride
    Current Pediatrics Reports, 2021, 9 : 52 - 59
  • [43] Sepsis in the Pediatric Cardiac Intensive Care Unit: An Updated Review
    Babu, Saravana
    Sreedhar, Rupa
    Munaf, Mamatha
    Gadhinglajkar, Shrinivas V.
    JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2023, 37 (06) : 1000 - 1012
  • [44] Provider Perceptions of Outcomes in the Pediatric Cardiac Intensive Care Unit
    Boyer, Preston J.
    Schumacher, Kurt R.
    Thornsberry, Kate
    Yu, Sunkyung
    Lowery, Ray
    Sznycer-Taub, Nathaniel R.
    PEDIATRIC CARDIOLOGY, 2024,
  • [45] Renal replacement therapy in the pediatric cardiac intensive care unit
    Hames, Daniel L.
    Ferguson, Michael A.
    Kaza, Aditya K.
    Rajagopal, Satish
    Thiagarajan, Ravi R.
    Teele, Sarah A.
    Salvin, Joshua W.
    JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2019, 158 (05): : 1446 - 1455
  • [46] Cardiac tamponade: Role of echocardiography in a Pediatric Intensive Care Unit
    Palanca Arias, D.
    Lopez Ramon, M.
    Madurga Revilla, P.
    Garcia Iniguez, J. P.
    Castan Larraz, B.
    Curto Simon, B.
    ANALES DE PEDIATRIA, 2014, 81 (02): : 134 - 135
  • [47] End of Life Simulation in a Pediatric Cardiac Intensive Care Unit
    Williams, Brenda K.
    Pendergrass, Tiffany L.
    Grooms, Taylor R.
    Florez, Amy R.
    CLINICAL SIMULATION IN NURSING, 2021, 60 : 3 - 10
  • [48] CARDIAC-ARRHYTHMIAS IN A PEDIATRIC INTENSIVE-CARE UNIT
    HAYDEN, WR
    HENEGHAN, KC
    ABDULLAH, A
    LUFTI, R
    CUTILLETTA, A
    PEDIATRIC RESEARCH, 1994, 35 (04) : A52 - A52
  • [49] Nutrition Considerations in the Pediatric Cardiac Intensive Care Unit Patient
    Justice, Lindsey
    Buckley, Jason R.
    Floh, Alejandro
    Horsley, Megan
    Alten, Jeffrey
    Anand, Vijay
    Schwartz, Steven M.
    WORLD JOURNAL FOR PEDIATRIC AND CONGENITAL HEART SURGERY, 2018, 9 (03) : 333 - 343
  • [50] Mechanical Ventilation in the Pediatric Cardiac Intensive Care Unit: The Essentials
    Rimensberger, Peter C.
    Heulitt, Mark J.
    Meliones, Jon
    Pons, Marti
    Bronicki, Ronald A.
    WORLD JOURNAL FOR PEDIATRIC AND CONGENITAL HEART SURGERY, 2011, 2 (04) : 609 - 619