Literature Review: Assessment of Opioid-related Sedation and the Pasero Opioid Sedation Scale

J Perianesth Nurs. 2019 Feb;34(1):132-142. doi: 10.1016/j.jopan.2017.12.009. Epub 2018 Apr 30.

Abstract

Purpose: To examine sedation scales and monitoring practices, specifically evaluating utilization of the Pasero Opioid Sedation Scale (POSS) in the clinical setting.

Design: Literature review.

Methods: A thorough review of the literature was conducted using three databases from January 2009 to June 2016.

Findings: A total of six articles were selected for the review; three descriptive survey-based design, two quasi-experimental design, and one evidence-based practice project. Three articles evaluated implementation of the POSS in a postanesthesia care unit, pediatric clinical unit or pediatric intensive care unit, and in general care areas.

Conclusions: The POSS is an effective tool to assess sedation and increase confidence among nurses.

Keywords: PACU; POSS; Pasero Opioid Sedation Scale; opioid-induced sedation; postanesthesia care unit; sedation scale.

Publication types

  • Review

MeSH terms

  • Analgesics, Opioid / administration & dosage
  • Analgesics, Opioid / adverse effects*
  • Anesthesia Recovery Period*
  • Humans
  • Hypnotics and Sedatives / administration & dosage*
  • Perioperative Nursing
  • Recovery Room

Substances

  • Analgesics, Opioid
  • Hypnotics and Sedatives