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
  • [21] Factors Associated With Increased Laboratory Use in the Pediatric Cardiac Intensive Care Unit
    Fisk, Anna C.
    Gauvreau, Kimberlee
    Connor, Jean A.
    DIMENSIONS OF CRITICAL CARE NURSING, 2021, 40 (05) : 295 - 300
  • [22] The use of neonatal extracorporeal life support in pediatric cardiac intensive care unit
    Ozturk, Erkut
    Yildiz, Okan
    Cine, Nihat
    Tuzun, Behzat
    Onan, Selen
    Ergul, Yakup
    Guzeltas, Alper
    Haydin, Sertac
    Yeniterzi, Mehmet
    Bakir, Ihsan
    JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, 2017, 30 (12): : 1397 - 1401
  • [23] Effect of intravenous acetaminophen on postoperative outcomes in hip fracture patients: a systematic review and narrative synthesis
    Cho, Jenny Sue Hyun
    McCarthy, Kristian
    Schiavo, Simone
    Jacob, Binu
    Engelsakis, Marina
    Zywiel, Michael
    Karkouti, Keyvan
    McCluskey, Stuart
    Clarke, Hance
    Wong, Jean
    CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 2022, 69 (07): : 885 - 897
  • [24] Identification of Low Cardiac Output Syndrome at the Bedside: A Pediatric Cardiac Intensive Care Unit Survey
    Nordness, Matthew J.
    Westrick, Ashly C.
    Chen, Heidi
    Clay, Mark A.
    CRITICAL CARE NURSE, 2019, 39 (02) : E1 - E7
  • [25] The effect of intraoperative methadone during pediatric cardiac surgery on postoperative opioid requirements
    Barnett, Annika M.
    Machovec, Kelly A.
    Ames, Warwick A.
    Homi, Hercilia M.
    Turi, Jennifer L.
    Koo, Jeannie
    Fuller, Matthew
    Jooste, Edmund H.
    PEDIATRIC ANESTHESIA, 2020, 30 (07) : 773 - 779
  • [26] Delirium in Cardiac Intensive Care Unit
    Pagad, Sukrut
    Somagutta, Manoj R.
    May, Vanessa
    Arnold, Ashley A.
    Nanthakumaran, Saruja
    Sridharan, Saijanakan
    Malik, Bilal Haider
    CUREUS JOURNAL OF MEDICAL SCIENCE, 2020, 12 (08)
  • [27] The effect of ketamine on delirium and opioid-induced hyperalgesia in the Intensive Care Unit
    Hayhurst, Christina J.
    Farrin, Emily
    Hughes, Christopher G.
    ANAESTHESIA CRITICAL CARE & PAIN MEDICINE, 2018, 37 (06) : 525 - 527
  • [28] Aminotransferase levels in relation to short-term use of acetaminophen four grams daily in postoperative cardiothoracic patients in the intensive care unit
    Ahlers, S. J. G. M.
    van Gulik, L.
    van Dongen, E. P. A.
    Bruins, P.
    Tibboel, D.
    Knibbe, C. A. J.
    ANAESTHESIA AND INTENSIVE CARE, 2011, 39 (06) : 1056 - 1063
  • [29] Impact of Opioid Administration in the Intensive Care Unit and Subsequent Use in Opioid-Naive Patients
    Krancevich, Niki M.
    Belfer, Julie J.
    Draper, Heather M.
    Schmidt, Kyle J.
    ANNALS OF PHARMACOTHERAPY, 2022, 56 (01) : 52 - 59
  • [30] The frequency of postoperative BNP measurement and intervention threshold of BNP concentration in pediatric cardiac intensive care unit: a prospective multicenter observational study
    Kanazawa, Tomoyuki
    Shimizu, Kazuyoshi
    Taga, Naoyuki
    Yamasaki, Masaki
    Mori, Hideaki
    Fujii, Sonoko
    Iwasaki, Tatsuo
    JOURNAL OF ANESTHESIA, 2022, 36 (03) : 367 - 373
12345