Efficacy of Patient-controlled Analgesia for Patients With Acute Abdominal Pain in the Emergency Department: A Randomized Trial
| Autor: | Rebecca Touger, Clyde B. Schechter, Adrienne Birnbaum, Polly E. Bijur, Virginia Tufaro, E. John Gallagher |
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| Rok vydání: | 2012 |
| Předmět: |
Abdominal pain
Patient-controlled analgesia business.industry medicine.medical_treatment General Medicine Emergency department Confidence interval law.invention Patient satisfaction Bolus (medicine) Opioid Randomized controlled trial law Anesthesia Emergency Medicine medicine medicine.symptom business medicine.drug |
| Zdroj: | Academic Emergency Medicine. 19:370-377 |
| ISSN: | 1069-6563 |
| DOI: | 10.1111/j.1553-2712.2012.01322.x |
| Popis: | ACADEMIC EMERGENCY MEDICINE 2012; 19: 370–377 © 2012 by the Society for Academic Emergency Medicine Abstract Objectives: The objective was to assess the efficacy of patient-controlled analgesia (PCA) in the emergency department (ED) and to compare two PCA dosing regimens. Methods: A randomized controlled trial with three treatment arms was performed in an urban ED. A convenience sample of ED patients ages 18 to 65 years with abdominal pain of 7 days or less duration requiring intravenous (IV) opioid analgesia was enrolled between April 2009 and June 2010. All patients received an initial dose of 0.1 mg/kg IV morphine followed by physician-managed analgesia as needed. Patients in the PCA arms also received IV morphine with on-demand doses of 1 or 1.5 mg, with a 6-minute lockout between doses. Pain intensity was rated by patients on an 11-point numeric rating scale (NRS). Satisfaction with pain treatment, desire for the same treatment in the future, and need for additional analgesia were assessed at study end. Adverse events (O2 sat |
| Databáze: | OpenAIRE |
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