Good Practice in Postoperative and Procedural Pain: Cardiac Surgery (Sternotomy)

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The Good Practice in Postoperative and Procedural Pain: Cardiac Surgery (sternotomy) mobile app is intended to be used by professionals involved in the acute care of children undergoing pain management after surgery or for painful medical procedures.

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It is designed to provide evidence-based information on the assessment of pain and the efficacy of pain management strategies. The app includes advice on the assessment of pain including evidence levels and grade of recommendation specific to Cardiac Surgery (sternotomy). Classically, cardiac surgery with cardiopulmonary by-pass (CPB) will involve division of the bony sternum to obtain access to the heart and great vessels. Anticoagulation with heparin is maintained throughout CPB, which has implications for the use of regional techniques. Postoperative patients are nursed in ICU areas, often with a short period of mechanical ventilation prior to extubation of the trachea. Postoperative analgesia with intravenous opioids, most frequently morphine or fentanyl, has been standard practice for more than 20 years in most institutions. A GoCanvas account can be specified as being HIPAA compliant.

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