NDLI: Acute pain management for patients under opioid maintenance treatment: what physicians do in emergency departments?

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Acute pain management for patients under opioid maintenance treatment: what physicians do in emergency departments?

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Bounes, Vincent Jouanjus, Emilie Roussin, Anne Lapeyre-Mestre, Maryse
Description	Country affiliation: France Author Affiliation: Bounes V ( aPharmacoépidémiology, UMR1027, INSERM, Toulouse University III bDepartment of Clinical Pharmacology, Pharmacodependence-Evaluation and Information Center (CEIP-A) cEmergency Department, University Hospital of Toulouse, Toulouse, France.)
Abstract	The aim of this study was to analyze the current practices on acute pain management of patients under opioid maintenance treatment (OMT), that is, buprenorphine or methadone. A total of 706 physicians were solicited through a national network to answer a survey about pain perception and analgesic strategies. Among the prescribers, 323 (46%) answered the survey: 131 (40%) physicians estimated that patients under OMT when exposed to an acute painful event feel more pain than other patients and 170 (53%) estimated that the patients felt the same amount of pain. Use of WHO step 1 analgesics was reported by 283 (88%) prescribers [264 (82%) prescribers reported use of paracetamol and 178 (55%) reported use of NSAIDs]. Among the second-line analgesic drugs, the WHO step 3 analgesics (mainly morphine) were the most commonly reported [221 physicians (68%)]. Overall, the results demonstrate the misconceptions of physicians on the pain tolerance of patients under OMT. Clinical studies and evidence-based guidelines are necessary to improve the therapeutic strategies for such patients in an emergency setting.
File Format	HTM / HTML
ISSN	09699546
Issue Number	1
Volume Number	21
e-ISSN	14735695
Journal	European Journal of Emergency Medicine
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2014-02-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Emergency Medicine Opiate Substitution Treatment Physician's Practice Patterns Acetaminophen Therapeutic Use Analgesics, Non-narcotic Analgesics, Opioid Anti-inflammatory Agents, Non-steroidal Buprenorphine Cross-sectional Studies Drug Utilization Emergency Service, Hospital Health Care Surveys Humans Methadone Pain Management Pain Threshold Journal Article
Content Type	Text
Resource Type	Article
Subject	Emergency Medicine

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Acute pain management for patients under opioid maintenance treatment: what physicians do in emergency departments?

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Acute pain management for patients under opioid maintenance treatment: what physicians do in emergency departments?