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Good Practice in Postoperative and Procedural Pain: Myringotomy Mobile App

The Good Practice in Postoperative and Procedural Pain: Myringotomy 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. 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 Myringotomy. Drainage of the middle ear, usually with insertion of a tube is a treatment for otitis media. Myringotomy is usually considered to be a minor procedure, undertaken on a day case basis. See also section 5.1 for the general principles of postoperative pain management. A GoCanvas account can be specified as being HIPAA compliant.

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Included Features

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Included Fields

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    Level 1

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    1++ High quality Meta analyses, systematic reviews of RCTs, or RCTs with a very low risk of bias

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    1+ Well conducted Meta analyses, systematic reviews of RCTs, or RCTs with a low risk of bias

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    1 - Meta analyses, systematic reviews of RCTs, or RCTs with a high risk of bias

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    Level 2

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    High quality systematic reviews of case-control or cohort studies.

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    2+ Well-conducted case control or cohort studies with a low risk of confounding, bias, or chance...

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    2 - Case control or cohort studies with a high risk of confounding, bias, or chance and a signifi...

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    Level 3

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    Non-analytic studies, e.

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    Level 4

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    Expert opinion

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    Grade A

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    At least one Meta analysis, systematic review, or RCT rated as 1++, and directly applicable to th...

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    A systematic review of RCTs or a body of evidence consisting principally of studies rated as 1+, ...

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    Grade B

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    Evidence including studies rated as 2++ or better, directly applicable to the target population, ...

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    Grade C

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    Evidence including studies rated as 2+ or better, directly applicable to the target population an...

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    Grade D

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    Evidence level 3 or 4; or Extrapolated evidence from studies rated as 2+

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    Drainage of the middle ear, usually with insertion of a tube is a treatment for otitis media.

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    Good practice point

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    As myringotomy is a brief procedure, oral paracetamol or NSAID should be administered preoperativ...

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    Recommendations

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    Oral paracetamol, ibuprofen or diclofenac, in suitable doses, administered 30 minutes preoperativ...

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    Ketorolac can provide satisfactory analgesia: Grade B

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    Opioids are effective but not recommended for routine use because of increased side-effects compa...

  • ...and More!

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