Emergency department analgesia without narcotics for adults with acute sickle cell pain crisis: Case reports and review of crisis management
| Autor: | Charles V. Pollack, Deborah Y Sanders, Harry W. Severance |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Adult
Male Emergency Medical Services medicine.medical_specialty medicine.drug_class Pain Tricyclic antidepressant Anemia Sickle Cell Disease Antidepressive Agents Tricyclic Pharmacotherapy Emergency medical services Humans Medicine Amitriptyline Intensive care medicine business.industry Anti-Inflammatory Agents Non-Steroidal Emergency department medicine.disease Sickle cell anemia Ketorolac Anesthesia Acute Disease Emergency Medicine Drug Therapy Combination Female Analgesia business medicine.drug |
| Zdroj: | The Journal of Emergency Medicine. 9:445-452 |
| ISSN: | 0736-4679 |
| DOI: | 10.1016/0736-4679(91)90216-3 |
| Popis: | Vaso-occlusive crises are one of the most debilitating features of sickle cell disease. There appears to be no standardization of care for adults with pain crisis, and some commonly utilized regimens, such as those employing intramuscular meperidine, are pharmacologically unsound. Parenteral narcotic use may be associated with respiratory compromise acutely and with dependence over the long term, but nonopioid preparations are often unsatisfactory in relieving pain. We have recently enjoyed success with a combination of a parenteral nonsteroidal anti-inflammatory medication and an oral tricyclic antidepressant. We report four representative cases and review the salient points of the management of pain crisis in adult patients in the emergency department. |
| Databáze: | OpenAIRE |
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