Department of Anaesthesiology, 2nd-Floor Private Wing, Aga Khan University, Stadium Road, P.O. Box 3500, Karachi, 74800, Pakistan.
Department of Emergency Medicine, Aga Khan University, Karachi, Pakistan.
BMC Res Notes. 2020 May 26;13(1):255. doi: 10.1186/s13104-020-05095-1.
To assess knowledge and practice trends in managing acute pain in patients infected with human immunodeficiency virus (HIV+) or having acquired immunodeficiency syndrome (AIDS) among emergency physicians of four tertiary care hospitals. Acute pain management in such patients is complex because of multiple concomitant painful conditions related to their disease. After obtaining ethical approval and written informed consent, emergency physicians were requested to fill out a questionnaire.
Out of 84 physicians who participated, 49 had managed HIV+/AIDS patients during the preceding year. Out of the 49, 30 (61.2%) physicians stated that they used a combination of analgesics for acute pain in these patients. Forty-two (50%) out of the 84 participants believed that routine doses of opioids were adequate for pain relief, while 42 (50%) agreed that pain management was more complex in these patients mainly due to presence of multiple coexisting problems and psychological issues. Only 26 (31%) respondents considered that pain was under-reported and under-treated in these patients, mainly because physicians were more focused on patients' other disease related complications and issues. Formulation of guidelines are recommended for effective acute pain management in these patients encompassing associated issues, including concomitant painful conditions, opioid dependence, psychiatric problems, etc.
评估 4 家三级保健医院的急诊医师在管理人类免疫缺陷病毒（HIV +）或获得性免疫缺陷综合征（AIDS）感染患者的急性疼痛方面的知识和实践趋势。由于与疾病相关的多种并存的疼痛状况，此类患者的急性疼痛管理较为复杂。在获得伦理批准和书面知情同意后，要求急诊医师填写一份问卷。
在 84 名参与的医师中，有 49 名在过去一年中管理过 HIV + / AIDS 患者。在这 49 名医师中，有 30 名（61.2％）医师表示他们在这些患者中使用了镇痛药联合治疗急性疼痛。84 名参与者中有 42 名（50％）认为常规剂量的阿片类药物足以缓解疼痛，而 42 名（50％）则认为这些患者的疼痛管理更为复杂，主要是因为存在多种并存的问题和心理问题。只有 26 名（31％）受访者认为这些患者的疼痛报告和治疗不足，主要是因为医生更关注患者其他与疾病相关的并发症和问题。建议为这些患者制定有效的急性疼痛管理指南，涵盖相关问题，包括并存的疼痛状况、阿片类药物依赖、精神问题等。
