medigraphic.com
SPANISH

Revista Mexicana de Anestesiología

ISSN 3061-8142 (Electronic)
ISSN 0484-7903 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2024, Number 4

<< Back

Rev Mex Anest 2024; 47 (4)

The rationale for in-hospital guidelines for the safe use of analgesic infusions in a world lacking acute pain clinics

Calderón-Vidal M, Moisen-Moreno C, Castorena-Arellano GA
Full text How to cite this article 10.35366/116241

DOI

DOI: 10.35366/116241
URL: https://dx.doi.org/10.35366/116241

Language: Spanish
References: 9
Page: 302-304
PDF size: 173.50 Kb.


Key words:

Pain Out, opioids, infusions, ketamine, intravenous lidocaine, safety protocols.

ABSTRACT

22-year-old female who developed a single episode of apnea and desaturation approximately 10-12 hours after her ankle surgery, where she received a single dose of intrathecal morphine as an option for pain management. In many hospitals, there are no protocols that dictate the security measures for every patient receiving opioids or other analgesic infusions such as IV lidocaine or ketamine in hospital wards, which might jeopardize the safety of our patients with major or minor adverse events. Although the spread of acute pain clinics has been poor in recent years, the increase in diverse techniques for acute pain management continues to grow and is implemented without creating a safety net for those patients. The results of phase 2 of the Pain Out project showed that in our hospital, the use of opioids and infusions is an everyday routine. As anesthesiologists, we need to propose a safety protocol for delivering those patients to the wards that are under the supervision of non-anesthesiologists most of the time.


REFERENCES

  1. Eisenach JC, Rice ASC. Improving preclinical development of novel interventions to treat pain: Insanity is doing the same thing over and over and expecting different results. Anesth Analg. 2022;135:1128-1136. doi: 10.1213/ANE.0000000000006249.

  2. Hyland SJ, Wetshtein AM, Grable SJ, Jackson MP. Acute pain management pearls: a focused review for the hospital clinician. Healthcare (Basel). 2022;11:34.

  3. Sinatra R. Causes and consequences of inadequate management of acute pain. Pain Med. 2010;11:1859-1871. doi: 10.1111/j.1526-4637.2010.00983.x.

  4. Berry PH, Dahl JL. The new JCAHO pain standards: implications for pain management nurses. Pain Manag Nurs. 2000;1:3-12. doi: 10.1053/jpmn.2000.5833.

  5. Calderón VM, Zamora MR, Zavaleta BM, Santa Rita EM, Santibáñez Moreno G, Castorena Arellano G, et al. Analgesia posoperatoria en ginecoobstetricia. Ginecol Obstet Mex. 2009;77(2):82-88.

  6. Pain assessment. Pain assessment and management standards for joint commission accredited health care organizations. Jointcommission.org. Available from: https://www.jointcommission.org/-/media/tjc/documents/corporate-communication/pain-management-standards-and-responses-to-myths-final-feb-2020.pdf

  7. Schug SA, Palmer GM, Scott DA, Alcock M, Halliwell R, Mott JF, et al. Acute Pain Management: Scientific Evidence 5th ed., Melbourne: ANZCA & FPM; 2020.

  8. Halliwell R. Provision of safe and effective acute pain management. In: Schung SA Palmer GM, Scott DA, Alcock M, Halliwell R, Mott JM, editor. Acute Pain Management Scientific Evidence (chapter 3). 2020. 78-104 p.

  9. Committee on Evidence-Based Clinical Practice Guidelines for Prescribing Opioids for Acute Pain, Board on Health Care Services, Health and Medicine Division, National Academies of Sciences, Engineering, and Medicine. Framing opioid prescribing guidelines for acute pain: Developing the evidence. Washington, D.C.: National Academies Press; 2019.




Table 1

2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Mex Anest. 2024;47