Difficulties with assessment and management of an infant's distress in the postoperative period: Optimising opportunities for interdisciplinary information-sharing
AuthorWeiner, C; Penrose, S; Manias, E; Cranswick, N; Rosenfeld, E; Newall, F; Williams, A; Borrott, N; Kinney, S
Source TitleSAGE Open Medical Case Reports
PublisherSAGE PUBLICATIONS INC
Document TypeJournal Article
CitationsWeiner, C., Penrose, S., Manias, E., Cranswick, N., Rosenfeld, E., Newall, F., Williams, A., Borrott, N. & Kinney, S. (2016). Difficulties with assessment and management of an infant's distress in the postoperative period: Optimising opportunities for interdisciplinary information-sharing. SAGE OPEN MEDICAL CASE REPORTS, 4, https://doi.org/10.1177/2050313X16683628.
Access StatusOpen Access
ARC Grant codeARC/DP130100221
OBJECTIVES: 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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