publicado em 20/09/2011 às 13h08:00
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Guidelines for the use of opioids are formulated for health professionals

An article from the University of Pennsylvania brought together several research sovbre opioid analgesics and analyzed monitoring practices

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Efforts to control pain in hospitalized patients with opioid (narcotic) analgesics can lead to involuntary sedation and respiratory depression, are serious adverse events that affect the quality of patient recovery. These unintended consequences can be avoided with individual plans of patient care, safe administration of medications, and appropriate control practices. The report of the expert Rosemary C. Polomano, Penn Nursing, University of Pennsylvania in the United States, and his team was published in the American Society for Pain Management Nursing (ASPMN).

Opioid analgesics, the standard of care for pain control in hospitalized patients are having increasing success in reducing pain. At the same time, the common and effective to use multiple combinations of analgesics that target different causes of pain, such as multimodal analgesia, require more aggressive approaches to evaluation and monitoring, as the article said ASPMN in the September issue of Pain Management Nursing.

The article ASPMN conducted a review of current research and guidelines for opioid analgesics and a national survey to examine current monitoring practices by nurses. The article developed recommendations, many of them focused on nursing practice and leadership to promote safer pain control and improved with a greater likelihood of reducing episodes of serious adverse events induced by opioids.

"Multimodal analgesia is extremely important for the effective control of pain," says Dr. Polomano, senior author and Rosemary C. Polomano, associate professor at the University of Pennsylvania. "Nurses have an important role in understanding of this therapy. They are best placed to detect changes in patient status. Nurses need to be well informed about the pharmacological properties of analgesics to maximize pain control, and be more proactive in monitoring of patients, especially those at high risk of adverse events. "

ASPMN The article emphasized that nurses are critical to identify patients at risk of unintended excessive sedation and respiratory depression, two of the most serious adverse effects of-opioid analgesic therapy. The panel advocates for patients individualized assessments of risk, continuous monitoring of levels of sedation and respiratory status, and technology-supported monitoring of patients at high risk. At the hospital level, the panel recommended educational content specific to nurses to painkillers and practices to reduce the adverse effects of opioids, such as over-sedation and respiratory depression. The panel also recommended hospital policies and procedures together with improved quality and monitoring programs specific to pain management to ensure safety and optimal care for pain.

The recommendations in this paper are designed to promote a reflection on "the uniqueness of patients, autonomy of nurses in the trials and the practice of professional nursing practice."

   Palavras-chave:   Opioid analgesics    Narcotics    Nurses    Nursing research    University of Pennsylvania   
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