Moisen-Moreno C, Calderón-Vidal M, Aban-Quijada Y

Language: Spanish
References: 7
Page: 268-272
PDF size: 198.44 Kb.

ABSTRACT

Introduction: multimodal analgesia promotes the combined use of medications to produce a synergistic effect, thereby reducing the doses used and adverse effects, including opioids and other drugs. Currently, there are no guidelines recommending the safety framework for hospitals in which these drugs should be prescribed outside the operating room area. Material and methods: searches were conducted in academic databases, websites specializing in clinical practice guidelines, and clinical practice guidelines from multiple hospital institutions up to 15 years old. Recommendations based on the collected information were created, reviewed by experts, and adapted to the local regulations of Médica Sur Hospital. Results: in-hospital recommendations for the prescription of opioid analgesics and other drugs for the treatment of acute pain in Médica Sur hospitalization; 11 recommendations for the prescription of opioids, 10 for lidocaine, and 9 for ketamine, alpha-2 agonists, and magnesium sulfate, each. Conclusions: we recognize that any guideline development process has limitations, including evidence and contrasting opinions. Creating recommendations for prescription provides a framework to limit unjustified variation in the prescription of opioids and other drugs in the management of acute pain.

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