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Interventional Radiology
Procedures
Pain Management Interventions
Introduction
Shared Decision-Making in Analgesia
Shared Decision-Making in Analgesia
Melissa Chittle, PA-C
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KEY FACTS

  • Shared Decision-Making

    • Additional Nonpharmacologic Adjuncts to Supplement Analgesia

      Background

      • Importance of Increasing Awareness and Adoption of Nonpharmacologic Adjuncts Into Analgesia

        General Principals of Shared Decision-Making

          How Shared Decision-Making Is Accomplished

            Utilizing Decision Aids

              Additional Nonpharmacologic Adjuncts to Supplement Analgesia

              • Music Selection

                • Anodyne Imagery

                  • Self-Hypnotic Relaxation

                    • Structured Attention

                      Overcoming Barriers for Successful Shared Decision-Making

                        Selected References

                        1. Boland L et al: Barriers and facilitators of pediatric shared decision-making: a systematic review. Implement Sci. 14(1):7, 2019
                        2. Chittle MD et al: Utilizing a sedation decision aid in ambulatory venous access device placement: effects on patient choice, workup, and recovery time. Journal of the Association for Vascular Access. 23(2): 79-85, 2018
                        3. Légaré F et al: Interventions for increasing the use of shared decision making by healthcare professionals. Cochrane Database Syst Rev. 7:CD006732, 2018
                        4. Sterkers N et al: Hypnosis as adjunct therapy to conscious sedation for venous access device implantation in breast cancer: a pilot study. J Vasc Access. 19(4):382-6, 2018
                        5. Bonnard E et al: Percutaneous vertebroplasty under local anaesthesia: feasibility regarding patients' experience. Eur Radiol. 27(4):1512-16, 2017
                        6. Stacey D et al: Decision aids for people facing health treatment or screening decisions. Cochrane Database Syst Rev. 4:CD001431, 2017
                        7. Chittle MD et al: Sedation shared decision-making in ambulatory venous access device placement: effects on patient choice, satisfaction and recovery time. Vasc Med. 21(4):355-60, 2016
                        8. Joseph-Williams N et al: Knowledge is not power for patients: a systematic review and thematic synthesis of patient-reported barriers and facilitators to shared decision making. Patient Educ Couns. 94(3):291-309, 2014
                        9. Playing music can lower sedation requirements during interventional radiology procedures. Health Devices. 41(10):334, 2012
                        10. Elwyn G et al: Shared decision making: a model for clinical practice. J Gen Intern Med. 27(10):1361-7, 2012
                        11. Kulkarni S et al: Music during interventional radiological procedures, effect on sedation, pain and anxiety: a randomised controlled trial. Br J Radiol. 85(1016):1059-63, 2012
                        12. Stacey D et al: Decision coaching to prepare patients for making health decisions: a systematic review of decision coaching in trials of patient decision AIDS. Med Decis Making. 32(3):E22-33, 2012
                        13. Vanderboom TL et al: Effects of a music intervention on patients undergoing cerebral angiography: a pilot study. J Neurointerv Surg. 4(3):229-33, 2012
                        14. Pittman S et al: Music intervention and preoperative anxiety: an integrative review. Int Nurs Rev. 58(2):157-63, 2011
                        15. Baker R et al: Tailored interventions to overcome identified barriers to change: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. CD005470, 2010
                        16. Légaré F et al: Barriers and facilitators to implementing shared decision-making in clinical practice: update of a systematic review of health professionals' perceptions. Patient Educ Couns. 73(3):526-35, 2008
                        17. Cooke M et al: The effect of music on preoperative anxiety in day surgery. J Adv Nurs. 52(1):47-55, 2005
                        18. Schupp CJ et al: Pain and anxiety during interventional radiologic procedures: effect of patients' state anxiety at baseline and modulation by nonpharmacologic analgesia adjuncts. J Vasc Interv Radiol. 16(12):1585-92, 2005
                        19. Martin ML et al: Sedation and analgesia in the interventional radiology department. J Vasc Interv Radiol. 14(9 Pt 1):1119-28, 2003
                        20. Lang EV et al: Cost analysis of adjunct hypnosis with sedation during outpatient interventional radiologic procedures. Radiology. 222(2):375-82, 2002
                        21. Baris S et al: Comparison of midazolam with or without fentanyl for conscious sedation and hemodynamics in coronary angiography. Can J Cardiol. 17(3):277-81, 2001
                        22. Haslam PJ et al: Anesthesia practice and clinical trends in interventional radiology: a European survey. Cardiovasc Intervent Radiol. 23(4):256-61, 2000
                        23. Kennedy PT et al: Conscious sedation and analgesia for routine aortofemoral arteriography: a prospective evaluation. Radiology. 216(3):660-4, 2000
                        24. Lang EV et al: Adjunctive non-pharmacological analgesia for invasive medical procedures: a randomised trial. Lancet. 355(9214):1486-90, 2000
                        25. Fick LJ et al: Imagery content during nonpharmacologic analgesia in the procedure suite: where your patients would rather be. Acad Radiol. 6(8):457-63, 1999
                        26. Lang EV et al: Determinants of intravenous conscious sedation for arteriography. J Vasc Interv Radiol. 9(3):407-12, 1998
                        27. Lang EV et al: Self-hypnotic relaxation during interventional radiological procedures: effects on pain perception and intravenous drug use. Int J Clin Exp Hypn. 44(2):106-19, 1996
                        28. Lang EV et al: Anodyne imagery: an alternative to i.v. sedation in interventional radiology. AJR Am J Roentgenol. 162(5):1221-6, 1994
                        29. Weinstein EJ et al: Use of hypnosis before and during angioplasty. Am J Clin Hypn. 34(1):29-37, 1991
                        30. Bailey PL et al: Frequent hypoxemia and apnea after sedation with midazolam and fentanyl. Anesthesiology. 73(5):826-30, 1990
                        Related Anatomy
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                        References
                        Tables

                        Tables

                        KEY FACTS

                        • Shared Decision-Making

                          • Additional Nonpharmacologic Adjuncts to Supplement Analgesia

                            Background

                            • Importance of Increasing Awareness and Adoption of Nonpharmacologic Adjuncts Into Analgesia

                              General Principals of Shared Decision-Making

                                How Shared Decision-Making Is Accomplished

                                  Utilizing Decision Aids

                                    Additional Nonpharmacologic Adjuncts to Supplement Analgesia

                                    • Music Selection

                                      • Anodyne Imagery

                                        • Self-Hypnotic Relaxation

                                          • Structured Attention

                                            Overcoming Barriers for Successful Shared Decision-Making

                                              Selected References

                                              1. Boland L et al: Barriers and facilitators of pediatric shared decision-making: a systematic review. Implement Sci. 14(1):7, 2019
                                              2. Chittle MD et al: Utilizing a sedation decision aid in ambulatory venous access device placement: effects on patient choice, workup, and recovery time. Journal of the Association for Vascular Access. 23(2): 79-85, 2018
                                              3. Légaré F et al: Interventions for increasing the use of shared decision making by healthcare professionals. Cochrane Database Syst Rev. 7:CD006732, 2018
                                              4. Sterkers N et al: Hypnosis as adjunct therapy to conscious sedation for venous access device implantation in breast cancer: a pilot study. J Vasc Access. 19(4):382-6, 2018
                                              5. Bonnard E et al: Percutaneous vertebroplasty under local anaesthesia: feasibility regarding patients' experience. Eur Radiol. 27(4):1512-16, 2017
                                              6. Stacey D et al: Decision aids for people facing health treatment or screening decisions. Cochrane Database Syst Rev. 4:CD001431, 2017
                                              7. Chittle MD et al: Sedation shared decision-making in ambulatory venous access device placement: effects on patient choice, satisfaction and recovery time. Vasc Med. 21(4):355-60, 2016
                                              8. Joseph-Williams N et al: Knowledge is not power for patients: a systematic review and thematic synthesis of patient-reported barriers and facilitators to shared decision making. Patient Educ Couns. 94(3):291-309, 2014
                                              9. Playing music can lower sedation requirements during interventional radiology procedures. Health Devices. 41(10):334, 2012
                                              10. Elwyn G et al: Shared decision making: a model for clinical practice. J Gen Intern Med. 27(10):1361-7, 2012
                                              11. Kulkarni S et al: Music during interventional radiological procedures, effect on sedation, pain and anxiety: a randomised controlled trial. Br J Radiol. 85(1016):1059-63, 2012
                                              12. Stacey D et al: Decision coaching to prepare patients for making health decisions: a systematic review of decision coaching in trials of patient decision AIDS. Med Decis Making. 32(3):E22-33, 2012
                                              13. Vanderboom TL et al: Effects of a music intervention on patients undergoing cerebral angiography: a pilot study. J Neurointerv Surg. 4(3):229-33, 2012
                                              14. Pittman S et al: Music intervention and preoperative anxiety: an integrative review. Int Nurs Rev. 58(2):157-63, 2011
                                              15. Baker R et al: Tailored interventions to overcome identified barriers to change: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. CD005470, 2010
                                              16. Légaré F et al: Barriers and facilitators to implementing shared decision-making in clinical practice: update of a systematic review of health professionals' perceptions. Patient Educ Couns. 73(3):526-35, 2008
                                              17. Cooke M et al: The effect of music on preoperative anxiety in day surgery. J Adv Nurs. 52(1):47-55, 2005
                                              18. Schupp CJ et al: Pain and anxiety during interventional radiologic procedures: effect of patients' state anxiety at baseline and modulation by nonpharmacologic analgesia adjuncts. J Vasc Interv Radiol. 16(12):1585-92, 2005
                                              19. Martin ML et al: Sedation and analgesia in the interventional radiology department. J Vasc Interv Radiol. 14(9 Pt 1):1119-28, 2003
                                              20. Lang EV et al: Cost analysis of adjunct hypnosis with sedation during outpatient interventional radiologic procedures. Radiology. 222(2):375-82, 2002
                                              21. Baris S et al: Comparison of midazolam with or without fentanyl for conscious sedation and hemodynamics in coronary angiography. Can J Cardiol. 17(3):277-81, 2001
                                              22. Haslam PJ et al: Anesthesia practice and clinical trends in interventional radiology: a European survey. Cardiovasc Intervent Radiol. 23(4):256-61, 2000
                                              23. Kennedy PT et al: Conscious sedation and analgesia for routine aortofemoral arteriography: a prospective evaluation. Radiology. 216(3):660-4, 2000
                                              24. Lang EV et al: Adjunctive non-pharmacological analgesia for invasive medical procedures: a randomised trial. Lancet. 355(9214):1486-90, 2000
                                              25. Fick LJ et al: Imagery content during nonpharmacologic analgesia in the procedure suite: where your patients would rather be. Acad Radiol. 6(8):457-63, 1999
                                              26. Lang EV et al: Determinants of intravenous conscious sedation for arteriography. J Vasc Interv Radiol. 9(3):407-12, 1998
                                              27. Lang EV et al: Self-hypnotic relaxation during interventional radiological procedures: effects on pain perception and intravenous drug use. Int J Clin Exp Hypn. 44(2):106-19, 1996
                                              28. Lang EV et al: Anodyne imagery: an alternative to i.v. sedation in interventional radiology. AJR Am J Roentgenol. 162(5):1221-6, 1994
                                              29. Weinstein EJ et al: Use of hypnosis before and during angioplasty. Am J Clin Hypn. 34(1):29-37, 1991
                                              30. Bailey PL et al: Frequent hypoxemia and apnea after sedation with midazolam and fentanyl. Anesthesiology. 73(5):826-30, 1990