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    American Society for Pain Management Nursing Guidelines on Monitoring for Opioid-Induced Advancing Sedation and Respiratory Depression: Revisions

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    Name:
    ASPMN Guidelines Manuscript Feb ...
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    Description:
    Final Accepted Manuscript
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    Author
    Jungquist, Carla R
    Quinlan-Colwell, Ann
    Vallerand, April
    Carlisle, Heather L
    Cooney, Maureen
    Dempsey, Susan J
    Dunwoody, Danielle
    Maly, Angelika
    Meloche, Kathy
    Meyers, Ashley
    Sawyer, Jason
    Singh, Navdeep
    Sullivan, Denise
    Watson, Chris
    Polomano, Rosemary C
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    Affiliation
    Univ Arizona
    Issue Date
    2019-07-31
    
    Metadata
    Show full item record
    Publisher
    ELSEVIER SCIENCE INC
    Citation
    Jungquist, C. R., Quinlan-Colwell, A., Vallerand, A., Carlisle, H. L., Cooney, M., Dempsey, S. J., … Polomano, R. C. (2020). American Society for Pain Management Nursing Guidelines on Monitoring for Opioid-Induced Advancing Sedation and Respiratory Depression: Revisions. Pain Management Nursing, 21(1), 7–25. https://doi.org/10.1016/j.pmn.2019.06.007 ‌
    Journal
    PAIN MANAGEMENT NURSING
    Rights
    Copyright © 2020 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    Objectives: This report presents up-to-date evidence and expert consensus-based revisions to the ASPMN 2011 guidelines that inform interprofessional clinical decision-making for hospitalized adults receiving opioid analgesics. Design: Systematic review of the literature. Methods: A 14-member expert panel was charged with reviewing and grading the strength of scientific evidence published in peer reviewed journals and revising the ASPMN 2011 existing guidelines. Panel members formulated recommendations based on the strength of evidence and reached consensus through discussion, reappraisal of evidence, and voting by majority when necessary. The American Society of Anesthesiologists evidence categories for grading and classifying the strength of the evidence were used. Recommendations were subjected to a critical review by ASPMN members as well as external reviews. Results: The 2011 guidelines were found to still be relevant to clinical practice, but new evidence substantiated refinement and more specific recommendations for electronic monitoring. The revised guidelines present risk factors divided into three categories: patient-specific, treatment-related, and environment of care. Specific recommendations for the use of electronic monitoring are delineated. Conclusions: All hospitalized patients that are administered opioids for acute pain are at risk of opioid induced advancing sedation and respiratory depression, but some patients are at high risk and require extra vigilance to prevent adverse events. All patients must be assessed for level of risk. Adaptations to the plan of care and monitoring strategies should be driven by iterative re-assessments according to level of risk. Nursing Practice Implications: Opioid medications continue to be a major component in the management of acute pain. Clinicians have the primary responsibility for safe and effective pain management. Evidence based monitoring strategies can improve patient safety with opioids. (C) 2020 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.
    Note
    12 month embargo; published online: 31 July 2019
    ISSN
    1524-9042
    PubMed ID
    31377031
    DOI
    10.1016/j.pmn.2019.06.007
    Version
    Final accepted manuscript
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.pmn.2019.06.007
    Scopus Count
    Collections
    UA Faculty Publications

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