Κατεύθυνση Αλγολογία: Αντιμετώπιση του πόνου, διάγνωση και θεραπεία. Φαρμακευτικές, παρεμβατικές και άλλες τεχνικές
Library of the School of Health Sciences

2020-01-28

2020

Partsinevelou Cristina-Eirini

Θεοδωράκη Κασσιανή, Αναπληρώτρια Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ, Επιβλέπουσα
Μελεμενή Αικατερίνη, Αναπληρώτρια Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Σιδηροπούλου Τατιάνα, Αναπληρώτρια Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ

Διαχείριση του πόνου με οπιοειδή στο Τμήμα Επειγόντων Περιστατικών. Παρουσίαση της κρίσης

Greek

Pain management with opioids in Emergency Department. Presentation of crisis

Pain is a multidimensional phenomenon, which is the main reason why patients visit a hospital’s emergency department. The way pain is dealt with, is an objective measure of provided medical care. Acute and chronic pain are both usual causes for visiting the emergency department. Pain is a common symptom of many diseases and trauma. Pain treatment should not be neglected by doctors, because it has catastrophic consequences for patients for their current state but also for their future. Pain can be managed with either pharmaceutical or non pharmaceutical techniques. In the ED there is difficulty in both evaluating and managing pain, because of the circumstances under which doctors and nurses have to work, the doctors’ lack of knowledge regarding pain and its management, the patients’ inability to express pain etc. According to bibliography, pain is not cured properly and adequately and patients suffer, a phenomenon called oligoanalgesia.
Non opioid analgetics, ie nonsteroid anti-inflammatory drugs and paracetamol are widely used for treating acute pain. However, for the management of moderate to severe pain, the use of opioid analgetics is mandatory. Opioids that are used more, are morphine, meperidine, fentanyl and hydromorphone, while in Greece tramadol is used mostly.
Aims: The aim of this research is to study the management of pain in the ED, the use of opioids by clinicians who work in the ED and their fear of opioids’ side-effects.
Method: For this cause questionnaires were given to doctors who work in emergency departments of some hospitals in Attica, in Greece, were filled in by them and later written down.
Results: From the study came out that doctors do medicate analgesia in the ED, in the amount of 67%, of which 36% always give opioids, 39% gives rarely and 25% never uses opioids in the managementof pain. These results agree with global bibliography, that shows low use of opioids in ED.
Conclusion: Doctors in the emergency departments of Attica dont’t use opioids so much for pain management, however, they believe that patients are satisfied when they leave hospitals.

Health Sciences

Pain, Therapy, Opioids, Emergency, Oligoanalgesia

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https://pergamos.lib.uoa.gr/uoa/dl/object/2896078