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Good Practice in Postoperative and Procedural Pain: Thoracotomy Mobile App

The Good Practice in Postoperative and Procedural Pain: Thoracotomy 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 Thoracotomy. Access to the lungs, pleura and intrathoracic structures is obtained by an intercostals incision and separation and retraction of the ribs. Typical procedures include ligation of PDA (patent ductus arteriosus), resection of aortic co-arctation, lung biopsy or partial resection, pneumonectomy, repair of tracheoesphageal fistula. Considerable pain can be expected following classical thoracotomy incision. Recently VATS (video assisted thoracoscopic surgery) a minimally invasive technique has been used for some relatively minor thoracic procedures e.g. lung biopsy or smaller lung resections. 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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    Access to the lungs, pleura and intrathoracic structures is obtained by an intercostals incision ...

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    Good practice point

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    A multi modal analgesic approach; including a local anaesthetic technique and /or opioid with NSA...

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    Recommendations

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    Epidural analgesia is effective for post-thoracotomy pain: Grade D

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    Evidence

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    Thoracotomy is frequently included in studies of analgesia for major surgery in combination with ...

  • ...and More!

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