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开发一种计算器,用于确定急诊科治疗镰状细胞病血管闭塞性发作的个体化阿片类药物剂量。

Development of a Calculator to Determine Individualized Opioid Doses for Treatment of Vaso-Occlusive Episodes for Sickle Cell Disease in the Emergency Department.

作者信息

Kavanagh Patricia L, Strouse John J, Paice Judith A, Ibemere Stephanie O, Tanabe Paula

出版信息

Jt Comm J Qual Patient Saf. 2025 Jan;51(1):74-79. doi: 10.1016/j.jcjq.2024.10.002. Epub 2024 Oct 17.

Abstract

Sickle cell disease (SCD) is a life-limiting multisystem disease primarily affecting individuals of African and Latinx descent. Its most common complication is painful vaso-occlusive episodes (VOEs), which is also the most common reason individuals with SCD seek care in the emergency department (ED). National guidelines recommend the use of standardized approaches to pain management in the ED, preferably using pain management plans tailored to each patient. However, no standard approach to developing these plans exists. This article describes the development of an opioid calculator to help SCD clinicians create individualized plans to better manage acute painful VOE in the ED setting.

摘要

镰状细胞病(SCD)是一种危及生命的多系统疾病,主要影响非洲裔和拉丁裔个体。其最常见的并发症是疼痛性血管闭塞发作(VOE),这也是SCD患者到急诊科(ED)就诊的最常见原因。国家指南建议在急诊科采用标准化的疼痛管理方法,最好使用针对每个患者量身定制的疼痛管理计划。然而,目前尚不存在制定这些计划的标准方法。本文描述了一种阿片类药物计算器的开发,以帮助SCD临床医生制定个性化计划,以便在急诊科环境中更好地管理急性疼痛性VOE。

相似文献

本文引用的文献

2
Sickle Cell Disease: A Review.镰状细胞病:综述。
JAMA. 2022 Jul 5;328(1):57-68. doi: 10.1001/jama.2022.10233.
10
Patterns of opioid use in sickle cell disease.镰状细胞病中阿片类药物的使用模式。
Am J Hematol. 2016 Nov;91(11):1102-1106. doi: 10.1002/ajh.24498. Epub 2016 Aug 8.

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