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The need for novel strategies to address postoperative pain associated with cardiac surgery: A commentary and introduction to “SMArTVIEW”

Background: With coronary heart disease affecting over 2.4 million Canadians, annual cardiac and major vascular surgery rates are on the rise. Unrelieved postoperative pain is among the top five causes of hospital readmission following surgery; little is done to address this postoperative complicati...

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Autores principales: Ouellette, Carley, Henry, Shaunattonie, Turner, Andy, Clyne, Wendy, Furze, Gill, Bird, Marissa, Sanchez, Karla, Watt-Watson, Judy, Carroll, Sandra, Devereaux, PJ, McGillion, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8730666/
https://www.ncbi.nlm.nih.gov/pubmed/35005416
http://dx.doi.org/10.1080/24740527.2019.1603076
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author Ouellette, Carley
Henry, Shaunattonie
Turner, Andy
Clyne, Wendy
Furze, Gill
Bird, Marissa
Sanchez, Karla
Watt-Watson, Judy
Carroll, Sandra
Devereaux, PJ
McGillion, Michael
author_facet Ouellette, Carley
Henry, Shaunattonie
Turner, Andy
Clyne, Wendy
Furze, Gill
Bird, Marissa
Sanchez, Karla
Watt-Watson, Judy
Carroll, Sandra
Devereaux, PJ
McGillion, Michael
author_sort Ouellette, Carley
collection PubMed
description Background: With coronary heart disease affecting over 2.4 million Canadians, annual cardiac and major vascular surgery rates are on the rise. Unrelieved postoperative pain is among the top five causes of hospital readmission following surgery; little is done to address this postoperative complication. Barriers to effective pain assessment and management following cardiac and major vascular surgery have been conceptualized on patient, health care provider, and system levels. Purpose: In this commentary, we review common patient, health care provider, and system-level barriers to effective postoperative pain assessment and management following cardiac and major vascular surgery. We then outline the SMArTVIEW intervention, with particular attention to components designed to optimize postoperative pain assessment and management. Methods: In conceptualizing the SMArTVIEW intervention design, we sought to address a number of these barriers by meeting the following design objectives: (1) orchestrating a structured process for regular postoperative pain assessment and management; (2) ensuring adequate clinician preparation for postoperative pain assessment and management in the context of virtual care; and (3) enfranchising patients to become active self-managers and to work with their health care providers to manage their pain postoperatively. Conclusions: Innovative approaches to address these barriers are a current challenge to health care providers and researchers alike. SMArTVIEW is spearheading this paradigm shift within clinical research to address barriers that impair effective postoperative pain management by actively engaging health care providers and patients in an accessible format (i.e., digital health solution) to give primacy to the need of postoperative pain assessment and management following cardiac and major vascular surgery.
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spelling pubmed-87306662022-01-06 The need for novel strategies to address postoperative pain associated with cardiac surgery: A commentary and introduction to “SMArTVIEW” Ouellette, Carley Henry, Shaunattonie Turner, Andy Clyne, Wendy Furze, Gill Bird, Marissa Sanchez, Karla Watt-Watson, Judy Carroll, Sandra Devereaux, PJ McGillion, Michael Can J Pain Commentary Background: With coronary heart disease affecting over 2.4 million Canadians, annual cardiac and major vascular surgery rates are on the rise. Unrelieved postoperative pain is among the top five causes of hospital readmission following surgery; little is done to address this postoperative complication. Barriers to effective pain assessment and management following cardiac and major vascular surgery have been conceptualized on patient, health care provider, and system levels. Purpose: In this commentary, we review common patient, health care provider, and system-level barriers to effective postoperative pain assessment and management following cardiac and major vascular surgery. We then outline the SMArTVIEW intervention, with particular attention to components designed to optimize postoperative pain assessment and management. Methods: In conceptualizing the SMArTVIEW intervention design, we sought to address a number of these barriers by meeting the following design objectives: (1) orchestrating a structured process for regular postoperative pain assessment and management; (2) ensuring adequate clinician preparation for postoperative pain assessment and management in the context of virtual care; and (3) enfranchising patients to become active self-managers and to work with their health care providers to manage their pain postoperatively. Conclusions: Innovative approaches to address these barriers are a current challenge to health care providers and researchers alike. SMArTVIEW is spearheading this paradigm shift within clinical research to address barriers that impair effective postoperative pain management by actively engaging health care providers and patients in an accessible format (i.e., digital health solution) to give primacy to the need of postoperative pain assessment and management following cardiac and major vascular surgery. Taylor & Francis 2019-07-30 /pmc/articles/PMC8730666/ /pubmed/35005416 http://dx.doi.org/10.1080/24740527.2019.1603076 Text en © 2019 The Author(s). Published with license by Taylor & Francis Group, LLC. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Commentary
Ouellette, Carley
Henry, Shaunattonie
Turner, Andy
Clyne, Wendy
Furze, Gill
Bird, Marissa
Sanchez, Karla
Watt-Watson, Judy
Carroll, Sandra
Devereaux, PJ
McGillion, Michael
The need for novel strategies to address postoperative pain associated with cardiac surgery: A commentary and introduction to “SMArTVIEW”
title The need for novel strategies to address postoperative pain associated with cardiac surgery: A commentary and introduction to “SMArTVIEW”
title_full The need for novel strategies to address postoperative pain associated with cardiac surgery: A commentary and introduction to “SMArTVIEW”
title_fullStr The need for novel strategies to address postoperative pain associated with cardiac surgery: A commentary and introduction to “SMArTVIEW”
title_full_unstemmed The need for novel strategies to address postoperative pain associated with cardiac surgery: A commentary and introduction to “SMArTVIEW”
title_short The need for novel strategies to address postoperative pain associated with cardiac surgery: A commentary and introduction to “SMArTVIEW”
title_sort need for novel strategies to address postoperative pain associated with cardiac surgery: a commentary and introduction to “smartview”
topic Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8730666/
https://www.ncbi.nlm.nih.gov/pubmed/35005416
http://dx.doi.org/10.1080/24740527.2019.1603076
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