manias-difficultieswith-2016.pdf (492.86 kB)
Difficulties with assessment and management of an infant's distress in the postoperative period: Optimising opportunities for interdisciplinary information-sharing
journal contribution
posted on 2016-01-01, 00:00 authored by Carlye Weiner, Sueann Penrose, Elizabeth ManiasElizabeth Manias, Noel Cranswick, Ellie Rosenfeld, Fiona Newall, Allison Williams, Narelle Borrott, Sharon KinneyObjectives: The importance of accurate paediatric patient assessment is well established but under-utilised in managing postoperative medication regimens. Methods: Data for this case report were collected through observations of clinical practice, conduct of interviews, and retrieval of information from the medical record. This case report involving a hospitalised 1-year-old boy demonstrates the difficulties associated with assessing and managing postoperative distress, including pain and other clinical conditions related to the surgical procedure. Results: Postoperatively, there were difficulties in managing pain and an episode of over-sedation, occasioning opiate reversal with naloxone. In addition, he had decreasing oxygen saturation and increased work of breathing. X-ray showed changes consistent with either atelectasis or aspiration, and he was commenced on antibiotics. The patient experienced respiratory distress and required intervention from the medical emergency team. Conclusion: This case demonstrated the importance of comprehensive assessment and careful consideration of alternative causes of an infant’s distress using the results of assessment tools to aid decision-making. Communication moderates effective patient care, and more favourable outcomes could be achieved by optimising interdisciplinary information-sharing.
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SAGE OPEN MEDICAL CASE REPORTSVolume
4Publisher
SAGE PUBLICATIONS INCLocation
EnglandPublisher DOI
ISSN
2050-313XeISSN
2050-313XLanguage
EnglishPublication classification
C Journal article; C1.1 Refereed article in a scholarly journalCopyright notice
2016, The AuthorsUsage metrics
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