Pain Management Best Practices from Multispecialty Organizations During the COVID-19 Pandemic and Public Health Crises

Autor: W. Michael Hooten, Milan Stojanovic, David J Kennedy, Ajay D. Wasan, Ian M. Fowler, Scott A King, Steven P Cohen, Scott R. Laker, Yian Chen, Salim M. Hayek, Christopher R Phillips, Zafeer B Baber, Asokumar Buvanendran, Friedhelm Sandbrink, Brian C McLean
Rok vydání: 2020
Předmět:
Health Services Accessibility
Injections
Intra-Articular
Health care
Mass Screening
Societies
Medical
Risk management
Anti-Inflammatory Agents
Non-Steroidal
Chronic pain
General Medicine
Telemedicine
Substance Withdrawal Syndrome
Analgesics
Opioid
United States Department of Veterans Affairs
Practice Guidelines as Topic
Public Health
Chronic Pain
Coronavirus Infections
AcademicSubjects/MED00010
medicine.medical_specialty
Pain medicine
Pneumonia
Viral
Clinical Neurology
Personnel Staffing and Scheduling
Staffing
Injections
Appointments and Schedules
Betacoronavirus
Nursing
medicine
Humans
Pain Management
Military Medicine
Glucocorticoids
Pandemics
Personal Protective Equipment
Government
SARS-CoV-2
business.industry
Public health
COVID-19
Trigger Points
medicine.disease
United States
Disinfection
Anesthesiology and Pain Medicine
Commentary
Neurology (clinical)
Triage
business
Zdroj: Pain Medicine: The Official Journal of the American Academy of Pain Medicine
Pain Medicine
ISSN: 1526-4637
1526-2375
Popis: BackgroundIt is nearly impossible to overestimate the burden of chronic pain, which is associated with enormous personal and socioeconomic costs. Chronic pain is the leading cause of disability in the world, is associated with multiple psychiatric comorbidities, and has been causally linked to the opioid crisis. Access to pain treatment has been called a fundamental human right by numerous organizations. The current COVID-19 pandemic has strained medical resources, creating a dilemma for physicians charged with the responsibility to limit spread of the contagion and to treat the patients they are entrusted to care for.MethodsTo address these issues, an expert panel was convened that included pain management experts from the military, Veterans Health Administration, and academia. Endorsement from stakeholder societies was sought upon completion of the document within a one-week period.ResultsIn these guidelines, we provide a framework for pain practitioners and institutions to balance the often-conflicting goals of risk mitigation for health care providers, risk mitigation for patients, conservation of resources, and access to pain management services. Specific issues discussed include general and intervention-specific risk mitigation, patient flow issues and staffing plans, telemedicine options, triaging recommendations, strategies to reduce psychological sequelae in health care providers, and resource utilization.ConclusionsThe COVID-19 public health crisis has strained health care systems, creating a conundrum for patients, pain medicine practitioners, hospital leaders, and regulatory officials. Although this document provides a framework for pain management services, systems-wide and individual decisions must take into account clinical considerations, regional health conditions, government and hospital directives, resource availability, and the welfare of health care providers.
Databáze: OpenAIRE
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