Abstract
Pediatric cardiothoracic surgical patients experience varying degrees of pain in the immediate post-operative period. Multiple analgesic modalities can be utilized to effectively manage pain in this specific patient population. Routinely, IV opioid only is prescribed post-operatively to manage acute pain needs in this select group of patients. However, standard use of rectal acetaminophen as an adjunct to IV opioid to improve comfort levels and decrease overall opioid use in the immediate post-operative period in this select population has not been examined. This retrospective, 18-month, quantitative study was conducted at a large urban children's teaching hospital incorporating electronic medical inpatient chart review. The study was designed to compare comfort levels (as measured by the Face, Legs, Activity, Cry, and Consolability [FLACC] Behavioral Pain Assessment Scale) and overall opioid use in male and female full-term infants (36 0/7 weeks or greater gestation as of the date of surgery) with congenital heart disease (CHD) who were less than or equal to 30 days of age and within 24 hours or less post open heart repair. T
Sigma Membership
Mu Omicron
Type
DNP Capstone Project
Format Type
Text-based Document
Study Design/Type
Other
Research Approach
Quantitative Research
Keywords:
Pain Control, Medication Use, Narcotic Painkillers
Advisor
Carol Mest
Degree
DNP
Degree Grantor
DeSales University
Degree Year
2015
Recommended Citation
Ochsenreither, Jacqueline M., "How does standard use of a rectal acetaminophen/intravenous (IV) opioid combination compare to IV opioid alone in improved comfort levels and decreased overall opioid use in full-term infants post open heart repair?" (2020). Dissertations. 1687.
https://www.sigmarepository.org/dissertations/1687
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
None: Degree-based Submission
Acquisition
Proxy-submission
Date of Issue
2020-05-28
Full Text of Presentation
wf_yes
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 10187578; ProQuest document ID: 1857449603. The author still retains copyright.