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Good Practice in Postoperative and Procedural Pain: Spinal Surgery Mobile App

The Good Practice in Postoperative and Procedural Pain: Spinal Surgery 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 Spinal Surgery. Surgery to correct spinal deformity requires extensive exposure of the spine which may be achieved posteriorly, anteriorly via thoracotomy or thoraco-abdominal approach or by a combined anterior- posterior approach. Postoperative pain can be severe and prolonged, necessitating the use of potent intravenous or neuraxial analgesic techniques for 3 – 5 days postoperatively. The use of intravenous opioid analgesia has not been well studied, however the success of neuraxial techniques in controlling post-operative pain in children has led to an interest in their use for spinal surgery. 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
1++ High quality Meta analyses, systematic reviews of RCTs, or RCTs with a very low risk of bias
1+ Well conducted Meta analyses, systematic reviews of RCTs, or RCTs with a low risk of bias
1 - Meta analyses, systematic reviews of RCTs, or RCTs with a high risk of bias
Level 2
High quality systematic reviews of case-control or cohort studies.
2+ Well-conducted case control or cohort studies with a low risk of confounding, bias, or chance...
2 - Case control or cohort studies with a high risk of confounding, bias, or chance and a signifi...
Level 3
Non-analytic studies, e.
Level 4
Expert opinion
Grade A
At least one Meta analysis, systematic review, or RCT rated as 1++, and directly applicable to th...
A systematic review of RCTs or a body of evidence consisting principally of studies rated as 1+, ...
Grade B
Evidence including studies rated as 2++ or better, directly applicable to the target population, ...
Grade C
Evidence including studies rated as 2+ or better, directly applicable to the target population an...
Grade D
Evidence level 3 or 4; or Extrapolated evidence from studies rated as 2+
Surgery to correct spinal deformity requires extensive exposure of the spine which may be achieve...
The patient population requiring spinal surgery includes healthy adolescents and patients with se...
Good practice points
There is no evidence from human studies that NSAIDs have a deleterious effect on bone fusion.
When using an epidural technique, the timing of LA administration should be agreed in consultatio...
Recommendations
Intrathecal opioids decrease intra-operative blood loss and IV opioid consumption post-operatively.
...and More!