Conference Report

The 32nd Annual Scientific Conference from the American Pediatric Surgical Nurses Association was held virtually this year on May 11–12, 2023. The 2-day conference was packed with up-to-date information for pediatric surgical nurses and advanced practice nurses. The first day was focused on pain management and had dynamic speakers discuss various aspects of pain management for the pediatric surgical patient. The second day included a variety of exciting topics and some of the latest research. The following abstracts were chosen as the Top Abstracts from the conference abstract review committee. PEDIATRIC PAIN MANAGEMENT—HOW TO MAKE THE MAGIC HAPPEN Teresa Reyburn-Orne, MSN, PPCNP-BC, CPNP-AC, PMGT-BC, AP-PMN Associate Director of Pain Services and Advanced Practice Senior Instructor, Division of Pediatric Anesthesia, Department of Anesthesiology, School of Medicine, University of Colorado Pediatric surgical nurses assess and manage pain in the inpatient setting, yet nurses often receive little pain management education. Healthcare providers write orders, but it is up to the pediatric surgical nurse to enact the orders in a way that provides the most effective and safest pain management. Nurses must understand pain physiology and the pharmacology of pain medicines including effects and side effects. Pediatric surgical nurses should review pain physiology and be knowledgeable about which point within the pain pathways that different medications and modalities can attenuate pain. Nursing inventions for pain management include nonopioid medications, opioid medications, regional analgesia, and nonpharmacologic interventions. Understanding the short- and long-term effects of undertreated pain in children is crucial to improving patient outcomes. SEDATION FOR SURGICAL PROCEDURES OUTSIDE OF AN OPERATING ROOM: THE ROLE OF THE ADVANCED PRACTICE PROVIDER Peggy Dorr, DNP, MSN, CRNP-PC, and Brieann E. Maurer, MSN, CRNP-AC Pediatric Nurse Practitioner, Sedation Service University of Maryland Medical Center, Baltimore, MD Children requiring the services of a surgical practice frequently need sedation for procedures to inform the diagnosis or for the surgical intervention, and the number of procedures performed outside an operating room has continued to increase over the years. Many facilities utilize medical providers such as intensivists or hospitalists to provide the sedation. We present our experience with a nurse practitioner (NP)-led sedation practice. NPs have the acute care knowledge and skills necessary to effectively triage pediatric patients, develop a sedation plan for any given procedure, safely administer sedative agents, and respond to adverse events. Our NPs have pediatric critical care experience, spent clinical time with anesthesia for advanced airway skill management, and are Pediatric Advanced Life Support certified. With their nursing colleagues, they perform structured, evidence-based presedation assessments to ensure the child is safe for procedural sedation. This team can provide sedation for procedures such as drain placement, or biopsy, eliminating the need to schedule with an operating room team. The most common sedatives used are midazolam, dexmedetomidine, and ketamine, and over the last 7 years (averaging more than 300 sedation encounters per year), the success rate is 99.5%, and no major adverse events have occurred. Given the team's extensive pediatric experience, they are experts in providing developmentally appropriate interactions with the patients and necessary education to both patient and family to allay anxieties and ensure understanding, all contributing to a positive outcome. AN UPDATE ON PEDIATRIC UROLOGIC CONDITIONS Adelaide Garcia, CPNP-AC Pediatric Nurse Practitioner Johns Hopkins Hospital, Baltimore, MD Pediatric surgical NPs may manage urologic conditions in pediatric patients. Hydronephrosis, a urologic condition characterized by the dilation of any portion of the collecting system of the kidney, is one of the common urologic conditions seen in pediatric patients. Pediatric patients would benefit from early detection and intervention to prevent long-term complications. Various treatment options, including medical management and surgical interventions, are often needed to improve patient outcomes. Neurogenic bladder, a condition resulting from dysfunction of the bladder, can be caused by various neurologic disorders. Essential aspects such as diagnosis, bladder management techniques, pharmacological interventions, and urinary diversions are treatment options available to patients. Finally, scrotal conditions, encompassing a broad spectrum of pathologies such as testicular torsion, undescended testes, and scrotal pain, can also occur in pediatric male patients. The clinical manifestations, diagnostic evaluation, and treatment options including surgical interventions are avenues the pediatric surgical NP can explore in these patients. The assessment, management, and treatment strategies employed by pediatric surgical NPs in urologic conditions are commonly encountered in clinical practice. Pediatric surgical NPs would benefit from an enhanced understanding of these complex pediatric urologic conditions aimed at improving patient care and outcomes.

Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.