Reduced narcotic and sedative utilization in a NICU after implementation of pain management guidelines

Objective: To assess the opioid and benzodiazepine usage in a level IV NICU after implementation of pain guidelines. Study design: Guidelines were developed for infants undergoing surgical procedures and infants on mechanical ventilation. Data collected for period 1 (July to December 2013) and perio...

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Veröffentlicht in:Journal of perinatology 2017-09, Vol.37 (9), p.1038-1042
Hauptverfasser: Rana, D, Bellflower, B, Sahni, J, Kaplan, A J, Owens, N T, Arrindell, E L, Talati, A J, Dhanireddy, R
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Sprache:eng
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Zusammenfassung:Objective: To assess the opioid and benzodiazepine usage in a level IV NICU after implementation of pain guidelines. Study design: Guidelines were developed for infants undergoing surgical procedures and infants on mechanical ventilation. Data collected for period 1 (July to December 2013) and period 2 (March to August 2014). Results: Gestational age, birth weight and infants with hypoxic respiratory failure or requiring major procedures were comparable in two periods. Number of patients exposed to opioids decreased from 62.9% (129/205) in period 1 to 32.8% (82/250) in period 2, P =
ISSN:0743-8346
1476-5543
DOI:10.1038/jp.2017.88