Pain is the primary reason for admission to the Emergency Department (ED). However, the management of pain in this setting is often inadequate because of opiophagia, fear of excessive sedation, and fear of compromising an adequate clinical assessment. METHODS: An intersociety consensus conference was held in 2010 on the assessment and treatment of pain in the emergency setting. This report is the Italian Intersociety recommendations on pain management in the emergency department setting. RESULTS: The list of level A recommendations includes: a) use of IV Acetaminophen for opioid sparing properties and reduction of opioid related adverse events; b) ketaminemidazolam combination preferred over fentanylmidazolam or fentanylpropofol in pediatric patients; c) boluses of ketamine IV (particularly in the population under the age of 2 years and over the age of 13) can lead to impairment of the upper airways, including the onset of laryngospasm, requiring specific expertise and skills for admin
Italian Intersociety Recommendations (SIAARTI, SIMEU, SIS 118, AISD, SIARED, SICUT, IRC) on Pain Management in the Emergency Setting / Savoia, G; Coluzzi, Flaminia; Di Maria, C; Ambrosio, F; Della Corte, F; Oggioni, R; Messina, A; Costantini, A; Launo, C; Mattia, Consalvo; Paoletti, F; Lo Presti, C; Bertini, L; Peduto, A; De Iaco, F; Schiraldi, F; Bussani, F; De Vito, L; Giagnorio, G; Marinangeli, F; Coaccioli, S; Aurilio, C; Valenti, F; Bonetti, C; Piroli, A; Paladini, A; Ciccozzi, A; Matarazzo, T; Marraro, G; Paolicchi, A; Martino, A; De Blasio, E; Cerchiari, E; Radeschi, G.. - In: MINERVA ANESTESIOLOGICA. - ISSN 0375-9393. - 81:2(2014), pp. 205-225.
Italian Intersociety Recommendations (SIAARTI, SIMEU, SIS 118, AISD, SIARED, SICUT, IRC) on Pain Management in the Emergency Setting.
COLUZZI, FLAMINIA;MATTIA, Consalvo;
2014
Abstract
Pain is the primary reason for admission to the Emergency Department (ED). However, the management of pain in this setting is often inadequate because of opiophagia, fear of excessive sedation, and fear of compromising an adequate clinical assessment. METHODS: An intersociety consensus conference was held in 2010 on the assessment and treatment of pain in the emergency setting. This report is the Italian Intersociety recommendations on pain management in the emergency department setting. RESULTS: The list of level A recommendations includes: a) use of IV Acetaminophen for opioid sparing properties and reduction of opioid related adverse events; b) ketaminemidazolam combination preferred over fentanylmidazolam or fentanylpropofol in pediatric patients; c) boluses of ketamine IV (particularly in the population under the age of 2 years and over the age of 13) can lead to impairment of the upper airways, including the onset of laryngospasm, requiring specific expertise and skills for adminI documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
