Acute pain management in the Emergency Department: Use of multimodal and non-opioid analgesic treatment strategies.

Acetaminophen Acute pain Dopamine receptor antagonists Droperidol Emergency department Gabapentin Haloperidol Ketamine Lidocaine Multimodal pain control Non-steroidal anti-inflammatory drugs Nonpharmacologic Opioids Pregabalin

Journal

The American journal of emergency medicine
ISSN: 1532-8171
Titre abrégé: Am J Emerg Med
Pays: United States
ID NLM: 8309942

Informations de publication

Date de publication:
08 2022
Historique:
received: 24 01 2022
revised: 05 05 2022
accepted: 14 05 2022
pubmed: 1 6 2022
medline: 20 7 2022
entrez: 31 5 2022
Statut: ppublish

Résumé

Pain is a common complaint precipitating emergency department (ED) visit, occurring in more than half of patient encounters. While opioids are effective for acute pain management in the Emergency Department (ED), the associated adverse effects, including respiratory and central nervous system depression, nausea, vomiting, and constipation, and physical manifestations of use, including tolerance, dependence and misuse leading to overdose and death, accentuate the need for non-opioid alternatives and/or multi-modal pain control. This review will provide examples of non-opioid pain management strategies and multimodal regimens for treatment of acute pain in the ED.

Identifiants

pubmed: 35636044
pii: S0735-6757(22)00321-7
doi: 10.1016/j.ajem.2022.05.022
pii:
doi:

Substances chimiques

Analgesics, Non-Narcotic 0
Analgesics, Opioid 0
Anti-Inflammatory Agents, Non-Steroidal 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

57-65

Informations de copyright

Copyright © 2022 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors have no conflicts of interest directly pertaining to this work. Megan Rech, PharmD has investigator-initiated research funding from Spero Pharmaceuticals unrelated to this subject.

Auteurs

Megan A Rech (MA)

Loyola University Chicago, Loyola University Medical Center, Stritch School of Medicine, Department of Emergency Medicine, S 1st Ave, Maywood, IL 60153, United States of America; Loyola University Medical Center, Department of Pharmacy, S 1st Ave, Maywood, IL 60153, United States of America. Electronic address: mrech@lumc.edu.

Christopher Griggs (C)

Atrium Health's Carolinas Medical Center, Department of Emergency Medicine, 1000 Blythe Blvd, Charlotte, NC 28210, United States of America.

Shannon Lovett (S)

Loyola University Chicago, Loyola University Medical Center, Stritch School of Medicine, Department of Emergency Medicine, S 1st Ave, Maywood, IL 60153, United States of America.

Sergey Motov (S)

Department of Emergency Medicine, Maimonides Medical Center, 4802 Tenth Avenue, Brooklyn, NY 11219, United States of America.

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Classifications MeSH