Suppr超能文献

通向无处的桥梁?在阿片类药物流行时代挑战急性疼痛患者的门诊护理过渡

A Bridge to Nowhere? Challenging Outpatient Transitions of Care for Acute Pain Patients in the Opioid Epidemic Era.

作者信息

Carpenter Christopher R, Lewis Lawrence, Jotte Randall S, Schwarz Evan S

机构信息

Christopher R. Carpenter, MD, MSc, MSMA member since 2016, Associate Professor, is in the Division of Emergency Medicine, Washington University School of Medicine, St. Louis, Mo.

Lawrence Lewis, MD, Professor, is in the Division of Emergency Medicine, Washington University School of Medicine, St. Louis, Mo.

出版信息

Mo Med. 2018 May-Jun;115(3):241-246.

Abstract

Opioid misuse is reducing Americans' life expectancy, thereby catalyzing professional societies and legislators to action. Efforts to combat the opioid epidemic must work hand-in-hand with appropriate efforts to reduce the severity and duration of suffering. Pharmacologic analgesia is temporizing. Current opioid prescribing guidelines focus on reducing the frequency and quantity of narcotics prescribed, but lack attention to alleviation of the source of pain. Conditions eliciting acute pain sometimes require additional specialist management following discharge from the emergency department. Patients frequently lack timely access to these specialists, particularly if underinsured. This essay explores acute dental pain, extremity fractures, and back pain as three common examples whereby complex healthcare systems must efficiently adapt in order to serve the dual objectives of reducing the risk of opioid-related adverse consequences and minimizing the duration of patient suffering.

摘要

阿片类药物的滥用正在降低美国人的预期寿命,从而促使专业协会和立法者采取行动。抗击阿片类药物流行的努力必须与减轻痛苦的严重程度和持续时间的适当努力携手并进。药物镇痛只是权宜之计。当前的阿片类药物处方指南侧重于减少开具的麻醉药品的频率和数量,但忽视了缓解疼痛根源。引发急性疼痛的病症有时在从急诊科出院后需要额外的专科治疗。患者常常无法及时获得这些专科治疗,尤其是在保险不足的情况下。本文探讨急性牙痛、四肢骨折和背痛这三个常见例子,复杂的医疗系统必须有效适应这些例子,以实现降低阿片类药物相关不良后果风险和尽量缩短患者痛苦持续时间这两个双重目标。

相似文献

2
Advocating for Multimodal Pain Management and Reducing the Need for Opioids in the Acute and Chronic Pain Setting.
Nurs Clin North Am. 2021 Sep;56(3):357-367. doi: 10.1016/j.cnur.2021.04.003. Epub 2021 Jun 16.
3
Opioid Prescriptions for Acute and Chronic Pain Management Among Medicaid Beneficiaries.
Am J Prev Med. 2019 Sep;57(3):365-373. doi: 10.1016/j.amepre.2019.04.022. Epub 2019 Aug 1.
5
Optimizing opioid prescribing and pain treatment for surgery: Review and conceptual framework.
Am J Health Syst Pharm. 2019 Sep 3;76(18):1403-1412. doi: 10.1093/ajhp/zxz146.
7
Addressing the Opioid Epidemic: A Review of the Role of Plastic Surgery.
Plast Reconstr Surg. 2018 May;141(5):1295-1301. doi: 10.1097/PRS.0000000000004332.
8
The Evolving Landscape of Acute Pain Management in the Era of the Opioid Crisis.
Curr Pain Headache Rep. 2018 Aug 27;22(11):73. doi: 10.1007/s11916-018-0728-y.
10
Opioid Crisis and Acute Pain Management After Foot and Ankle Surgery.
Clin Podiatr Med Surg. 2019 Oct;36(4):695-705. doi: 10.1016/j.cpm.2019.06.009. Epub 2019 Jul 27.

引用本文的文献

本文引用的文献

2
Backstories on the US Opioid Epidemic. Good Intentions Gone Bad, an Industry Gone Rogue, and Watch Dogs Gone to Sleep.
Am J Med. 2018 Jun;131(6):595-601. doi: 10.1016/j.amjmed.2017.12.045. Epub 2018 Feb 1.
3
Emergency Department Contribution to the Prescription Opioid Epidemic.
Ann Emerg Med. 2018 Jun;71(6):659-667.e3. doi: 10.1016/j.annemergmed.2017.12.007. Epub 2018 Jan 16.
4
Don't just do something, stand there! The value and art of deliberate clinical inertia.
Emerg Med Australas. 2018 Apr;30(2):273-278. doi: 10.1111/1742-6723.12922. Epub 2018 Jan 12.
5
Mortality in the United States, 2016.
NCHS Data Brief. 2017 Dec(293):1-8.
8
Drug Companies' Liability for the Opioid Epidemic.
N Engl J Med. 2017 Dec 14;377(24):2301-2305. doi: 10.1056/NEJMp1710756.
10
Complying with the Emergency Medical Treatment and Labor Act (EMTALA): Challenges and solutions.
J Healthc Risk Manag. 2018 Jan;37(3):31-41. doi: 10.1002/jhrm.21288. Epub 2017 Nov 8.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验