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The Evolving Landscape of Acute Pain Management in the Era of the Opioid Crisis. [Review]

MedStar author(s):

Citation: Current Pain & Headache Reports. 22(11):73, 2018 Aug 27.PMID: 30151792Institution: MedStar Washington Hospital CenterDepartment: Emergency MedicineForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Acute Pain/dt [Drug Therapy] | *Analgesics, Opioid/ae [Adverse Effects] | *Pain Management | Analgesics, Non-Narcotic/ae [Adverse Effects] | Drug Prescriptions | Emergency Medical Services/sn [Statistics & Numerical Data] | Humans | Opioid-Related Disorders/ep [Epidemiology] | Opioid-Related Disorders/pc [Prevention & Control]Year: 2018 ISSN:

1534-3081

Name of journal: Current pain and headache reportsAbstract: PURPOSE OF REVIEW: The purpose of the study is to evaluate and analyze the role of both opioid and non-opioid analgesics in the emergency department (ED).RECENT FINDINGS: Studies have shown that the implementation of opioid-prescribing policies in the ED has the potential to reduce the opioid addiction burden. Clinical studies point to inconsistencies in providers' approach to pain treatment. In this review, we discuss specific aspects of opioid utilization and explore alternative non-opioid approaches to pain management. Pain is the most common reason patients present to the ED. As such, emergency medicine (EM) providers must be well versed in treating pain. EM providers must be comfortable using a wide variety of analgesic medications. Opioid analgesics, while effective for some indications, are associated with significant adverse effects and abuse potential. EM providers should utilize opioid analgesics in a safe and rational manner in an effort to combat the opioid epidemic and to avoid therapeutic misadventures. EM providers should be aware of all of their therapeutic options, e.g., opioid and non-opioid, in order to provide effective analgesia for their patients, while avoiding adverse effects and minimizing the potential for misuse.All authors: Jasani G, Mazer-Amirshahi M, Pourmand A, Shay CFiscal year: FY2019Digital Object Identifier:

https://dx.doi.org/10.1007/s11916-018-0728-y

Date added to catalog: 2018-08-31

Holdings ( 1 )
Title notes ( 3 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	30151792	Available		30151792

PURPOSE OF REVIEW: The purpose of the study is to evaluate and analyze the role of both opioid and non-opioid analgesics in the emergency department (ED).

RECENT FINDINGS: Studies have shown that the implementation of opioid-prescribing policies in the ED has the potential to reduce the opioid addiction burden. Clinical studies point to inconsistencies in providers' approach to pain treatment. In this review, we discuss specific aspects of opioid utilization and explore alternative non-opioid approaches to pain management. Pain is the most common reason patients present to the ED. As such, emergency medicine (EM) providers must be well versed in treating pain. EM providers must be comfortable using a wide variety of analgesic medications. Opioid analgesics, while effective for some indications, are associated with significant adverse effects and abuse potential. EM providers should utilize opioid analgesics in a safe and rational manner in an effort to combat the opioid epidemic and to avoid therapeutic misadventures. EM providers should be aware of all of their therapeutic options, e.g., opioid and non-opioid, in order to provide effective analgesia for their patients, while avoiding adverse effects and minimizing the potential for misuse.

English