Return rates for opioid versus nonopoid management of patients with abdominal pain in the emergency department

Ossama Sayedahmed Sobhi Ali Sayedahmed; Mahmood Mohammed Ghanaim

doi:10.53730/ijhs.v7nS1.14340

Authors

Ossama Sayedahmed Sobhi Ali Sayedahmed
osamaezdahmed@yahoo.com
Mahmood Mohammed Ghanaim

Keywords:

opioid, nonopoid, abdominal pain

Abstract

Given the nationwide opioid epidemic, EM clinicians are in a unique position to address it by increasing the use of non-opioid analgesia, prescribing parenteral & oral opioids inED & at discharge with care, & identifying & treating studied cases with opioid use disorder while they are still in ED. In a side-by-side study of NSAIDs (valdecoxib) and opioid/acetaminophen combinations, individuals with acute MSK pain in the ED experienced comparable pain reduction for short-term analgesia (up to sixty minutes). NSAIDs had comparable analgesic efficacy to acetaminophen at one to two hours & two to three days in studied cases with acute STIs as well as opioids at 1 hour (moderate certainty evidence) & four to seven days (low certainty evidence). Studied cases who present to EDwith range of acute painful syndromes, various chronic painful syndromes, or pain syndromes connected to cancer receive quick & efficient pain treatment using opioid analgesics. When it is determined that the chance of analgesic benefit outweighs likelihood of harm, opioids ought to be utilized in EDas part of multimodal analgesia in conjunction with non-pharmacological & non-opioid therapy.

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References

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