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Emergency department analgesia in patients with traumatic injuries on outpatient buprenorphine

      Moderate to severe acute pain occurs in 91% of traumatic injury patients presenting to the emergency department (ED) and suboptimal analgesia is common [
      • Berben S.A.
      • Meijs T.H.
      • van Dongen R.T.
      • et al.
      Pain prevalence and pain relief in trauma patients in the accident and emergency department.
      ,
      • Todd K.
      • Ducharme J.
      • Choiniere M.
      • et al.
      Pain in the emergency department: results of the pain and emergency medicine initiative (PEMI) multicenter study.
      ,
      • Albrecht E.
      • Taffe P.
      • Schoettker P.
      • et al.
      Undertreatment of acute pain (oligoanalgesia) and medical practice variation in prehospital analgesia of adult trauma patients: a 10 year retrospective study.
      ]. 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 [
      • Karamchandani K.
      • Klick J.C.
      • Dougherty M.L.
      • et al.
      Pain management in trauma patients affected by the opioid epidemic.
      ]. 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 [
      • Alford D.P.
      • Compton P.
      • Samet J.H.
      Acute pain management for patients receiving maintenance methadone or buprenorphine therapy.
      ].

      Keywords

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