Acute Pain Management Pearls: A Focused Review for the Hospital Clinician

被引:23
作者
Hyland, Sara J. [1 ]
Wetshtein, Andrea M. [2 ]
Grable, Samantha J. [3 ]
Jackson, Michelle P. [3 ]
机构
[1] OhioHealth Grant Med Ctr, Dept Pharm, Columbus, OH 43215 USA
[2] Cleveland Clin Fairview Hosp, Dept Pharm, Cleveland Hts, OH 44111 USA
[3] OhioHealth Grant Med Ctr, Hosp & Palliat Med, Columbus, OH 43215 USA
关键词
pain management; opioid stewardship; postoperative pain; multimodal analgesia; transitions of care; opioid-related adverse effects; acute pain; opioid use disorder; enhanced recovery; opioids; NONSTEROIDAL ANTIINFLAMMATORY DRUGS; TOTAL KNEE ARTHROPLASTY; LOW-DOSE KETAMINE; POSTOPERATIVE PAIN; REGIONAL ANESTHESIA; PRESCRIBING OPIOIDS; BOWEL DYSFUNCTION; BARIATRIC SURGERY; ENHANCED RECOVERY; AMERICAN-SOCIETY;
D O I
10.3390/healthcare11010034
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Acute pain management is a challenging area encountered by inpatient clinicians every day. While patient care is increasingly complex and costly in this realm, the availability of applicable specialists is waning. This narrative review seeks to support diverse hospital-based healthcare providers in refining and updating their acute pain management knowledge base through clinical pearls and point-of-care resources. Practical guidance is provided for the design and adjustment of inpatient multimodal analgesic regimens, including conventional and burgeoning non-opioid and opioid therapies. The importance of customized care plans for patients with preexisting opioid tolerance, chronic pain, or opioid use disorder is emphasized, and current recommendations for inpatient management of associated chronic therapies are discussed. References to best available guidelines and literature are offered for further exploration. Improved clinician attention and more developed skill sets related to acute pain management could significantly benefit hospitalized patient outcomes and healthcare resource utilization.
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页数:26
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