Evidence Based Practice - Perioperative Procedure

Evidence Based Practice - Perioperative Procedure

Introduction

The studies have examined the barriers to research utilization, with order to overcome them and identify strategies to facilitate the use of scientific evidence in nursing practice. The coronary heart problem is one of the most dangerous and hostile disease to a human being. It is usually treated via Coronary Artery Bypass Graft. It is a disease in which plak is formed in the coronary artries of heart. And these artries serve as means of tranfering oxygen filled blood to heart. The pain after surgery procedure is mostly felt in musculoskeletal & myofascial. Both of these painful conditions are jointly called post sternotomy pain syndrome. This pain is usually managed by fentanyl. The procedure of placing chest tubes cause great deal of pain after the Bypass. Usually this pain is managed by opioids and NSAID after the procedure of bypass (Bainbridge D & Martin JE, 2006).

Discussion

Medicla professionals use Pethidine as the least preferred option to deal with pain management after cardiac surgery as compare to general surgery. Mistly morphine is used as intervention to deal with pain after open heart surgery and have a range of side effects like sickness, vomiting, constipation, and respiratory depression. NSAIDs also have certain side effects like gastro-intestinal disturbance, renal impairment, decreased platelet function, impaired coagulation etc. (Aarhus University Hospital, 2007).

Pain is defined as a complicated process. Physical pain has the cability of affecting haematologic,resistant, hormonal, cardiac, and breathing systems. It affects a person's ability to move, distorts sleep and physical rest, and result in irritation. In addition, it has been found that there is a strong bond between medical care system and post operative pain, better medical care facilities would result in adequate cost management of hospital (Kehlet H. 1999).

The source of pain management after cardiac surgery has been medical drugs and constant mixture of pain-relieving activities. Evidence based research show that the immediate way of managing pain is found to be more useless. The immediate treatment provided to patients are overseen by nurses only when required and pain managerial services are provided only after pain has incurred that is caused by extreme pain (Melzack R. 1990).

On the other hand proactive treatment of pain is observed to improve the pain condition because the pain management services and interventions are given to patients before pain occurs. This management of pain methodology involves administration of analgesics by using a constant epidural infusion. In addition,t his methodology involves certain level of risks as well. Due to its advanced techncology oriented approach and self administration, this method is not considered as feasible for all operated patients of cardiac disease (Pasero C, McCaffery M., 2001).

Conclusion

The main difficulty incurred in conduciting research for determining appropriate apin management approach for coronary artery bypass is distinguishing and evaluating the side effects of interventions provided like opioid. It can be overcome by utilizing the developed framework of pain management. Official principles and policies have been formed in dealing these issues and certain ...