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Transforming the Concept of State of the Art Into Real Pain Relief for Patients after Cardiac Surgery. A Combined Nursing-Anesthesia Initiative
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| Cogan J1*, Schaffer GV2, Ouimette MF3, Yegin Z3 and Ferland V3 | |
| 1Department of Anesthesia, Montreal Heart Institute and Université de Montréal, Montreal QC, Canada | |
| 2Pain Center of Hôtel-Dieu du CHUM and Université de Montréal, Montreal QC, Canada | |
| 3Department of Nursing, Montreal Heart Institute and Université de Montréal, Montreal QC, Canada | |
| Corresponding Author : | Cogan J Department of Anesthesia, Montreal Heart Institute 5000 Belanger Street, Montreal QC, Canada, H1T 1C8 Tel: 514-376-3330 Fax: 514376-1355 b cogan.jennifer@me.com |
| Received June 16, 2014; Accepted July 29, 2014; Published July 31, 2014 | |
| Citation: Cogan J, Schaffer GV, Ouimette MF, Yegin Z, Ferland V (2014) Transforming the Concept of “State of the Art” Into “Real Pain Relief” for Patients after Cardiac Surgery – A Combined Nursing-Anesthesia Initiative. J Pain Relief 3: 152 doi: 10.4172/2167-0846.1000152 | |
| Copyright: © 2014 Cogan J, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. | |
Abstract
Several publications have shown that adequate postsurgical pain control after cardiac surgery has been difficult to obtain. Hospital services have been admonished to develop appropriate organizations of care that will facilitate the use of existing expertise rather than focusing on the development of new analgesic drugs. In this article the authors discuss the multidisciplinary collaboration that enabled the creation and implementation, in a busy cardiac surgery service, of a structure that has forged significant improvement in the treatment of pain after cardiac surgery. This nurse-run program promotes the use of a “low-tech, highly personalized” approach to pain management where the daily clinical work is supported by the concept of the “Patient Pyramid of Care”.
