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优化急诊科疼痛管理:当前镇痛实践的全面综述

Optimizing Pain Management in Emergency Departments: A Comprehensive Review of Current Analgesic Practices.

作者信息

Nagpal Anmol K, Gadkari Charuta, Singh Akhilesh, Pundkar Aditya

机构信息

Emergency Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Orthopedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Sep 20;16(9):e69789. doi: 10.7759/cureus.69789. eCollection 2024 Sep.

Abstract

Effective pain management in Emergency Departments (EDs) is vital for improving patient comfort and clinical outcomes. This review provides a comprehensive analysis of current pain management practices in ED settings, focusing on the challenges and opportunities for optimization. The review examines pharmacologic and non-pharmacologic pain management strategies, evaluating their effectiveness and identifying inconsistencies and gaps in current practices. Key challenges in the ED environment include time constraints, variability in clinical protocols, and the need to address diverse patient needs, including those of paediatric, geriatric, and chronic pain patients. The review highlights the importance of standardized pain assessment tools and protocols to improve consistency in pain management. Innovations, such as technological advances and multimodal approaches, are explored for their potential to enhance pain management practices. Recommendations address identified challenges, including improved training for ED staff, the development of evidence-based protocols, and the integration of multimodal pain management strategies. By addressing these areas, the review aims to contribute to the development of more effective and uniform pain management practices in emergency care, ultimately leading to better patient outcomes and experiences. This review emphasizes the need for ongoing research and adaptation of best practices to meet the evolving needs of patients in emergency settings.

摘要

急诊科有效的疼痛管理对于提高患者舒适度和临床治疗效果至关重要。本综述全面分析了急诊科目前的疼痛管理实践,重点关注优化的挑战与机遇。该综述审视了药物和非药物疼痛管理策略,评估其有效性,并找出当前实践中的不一致之处和差距。急诊科环境中的主要挑战包括时间限制、临床方案的变异性,以及满足不同患者需求的必要性,包括儿科、老年和慢性疼痛患者的需求。该综述强调了标准化疼痛评估工具和方案对于提高疼痛管理一致性的重要性。探讨了技术进步和多模式方法等创新手段在增强疼痛管理实践方面的潜力。建议针对已发现的挑战,包括加强对急诊科工作人员的培训、制定循证方案以及整合多模式疼痛管理策略。通过解决这些领域的问题,本综述旨在推动急诊护理中更有效和统一的疼痛管理实践的发展,最终实现更好的患者治疗效果和就医体验。本综述强调需要持续开展研究并采用最佳实践方法,以满足急诊环境中患者不断变化的需求。

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