Moderate to severe acute pain occurs in 91% of traumatic injury patients presenting
to the emergency department (ED) and suboptimal analgesia is common [
1
,
2
,
3
]. Timely and adequate pain control is crucial, as inadequate management has been
associated with increased morbidity and development of chronic pain, post-traumatic
stress disorder, anxiety, and depression [
[4]
]. Intravenous (IV) opioids are routinely used for treatment of acute pain in trauma
patients, but increasing outpatient use of buprenorphine for opioid use disorder (OUD)
and chronic pain poses a new challenge to traditional pain management strategies [
[5]
].Keywords
To read this article in full you will need to make a payment
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The American Journal of Emergency MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Pain prevalence and pain relief in trauma patients in the accident and emergency department.Injury. 2008; 39: 578-585https://doi.org/10.1016/j.injury.2007.04.013
- Pain in the emergency department: results of the pain and emergency medicine initiative (PEMI) multicenter study.J Pain. 2007; 8: 460-466https://doi.org/10.1016/j.jpain.2006.12.005
- Undertreatment of acute pain (oligoanalgesia) and medical practice variation in prehospital analgesia of adult trauma patients: a 10 year retrospective study.Br J Anaesth. 2013; 110: 96-103https://doi.org/10.1093/bja/aes355
- Pain management in trauma patients affected by the opioid epidemic.J Trauma Acute Care Surg. 2019; 87: 430-439https://doi.org/10.1097/TA.0000000000002292
- Acute pain management for patients receiving maintenance methadone or buprenorphine therapy.Ann Intern Med. 2006; 144: 127-134https://doi.org/10.7326/0003-4819-144-2-200601170-00010
- National practice guideline for the use of medications in the treatment of action involving opioids.J Addict Med. 2015; 9: 358-367
- To stop or not, that is the question: acute pain management for the patient on chronic buprenorphine.Anesthesiology. 2017; 126: 1180-1186https://doi.org/10.1097/ALN.0000000000001633
- From rare to reality: the challenge of controlling pain in patients on buprenorphine in the acute care setting.J Trauma Treat. 2017; 6: 359https://doi.org/10.4172/2167-1222.1000359
- Clinically important changes in acute pain outcome measures: a validation study.J Pain Symptom Manage. 2003; 25: 406-411https://doi.org/10.1016/s0885-3924(03)00162-3
- Pain relief that matters to patients: systematic review of empirical studies assessing the minimum clinically important difference in acute main.BMC Med. 2017; 15: 1-18https://doi.org/10.1186/s12916-016-0775-3
- A fentanyl-based pain management protocol provides early analgesia for adult trauma patients.J Trauma Acute Care Surg. 2007; 63: 819-826https://doi.org/10.1097/01.ta.0000240979.31046.98
Article Info
Publication History
Published online: May 21, 2020
Accepted:
May 19,
2020
Received:
May 19,
2020
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.