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Pain Management in Trauma in the Age of the Opioid Crisis.
Anesthesiol Clin 2019; 37(1):79-91AC

Abstract

It is imperative to find the balance between pain control and addressing the opioid epidemic. Opioids, although effective in the acute pain management, have multiple side effects and can lead to dependence, abuse, overdose, or death. Physicians should identify patients who abuse opioids, using their states' prescription drug-monitoring programs and use screening tools to identify patients at increased risk of developing opioid dependence. Multimodal analgesic plans, incorporating regional techniques, and nonopioid medications should be employed to reduce the amount of opioids received by patients.

Authors+Show Affiliations

Wake Forest School of Medicine, Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston Salem, NC 27157, USA.Department of Anesthesiology and Critical Care, The Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, 3401 Civic Center Boulevard, Philadelphia, PA 19104, USA.Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce Street, Dulles 6, Philadelphia, PA 19104, USA. Electronic address: Nabil.Elkassabany@uphs.upenn.edu.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

30711235

Citation

Gross, Jessica Lynn, et al. "Pain Management in Trauma in the Age of the Opioid Crisis." Anesthesiology Clinics, vol. 37, no. 1, 2019, pp. 79-91.
Gross JL, Perate AR, Elkassabany NM. Pain Management in Trauma in the Age of the Opioid Crisis. Anesthesiol Clin. 2019;37(1):79-91.
Gross, J. L., Perate, A. R., & Elkassabany, N. M. (2019). Pain Management in Trauma in the Age of the Opioid Crisis. Anesthesiology Clinics, 37(1), pp. 79-91. doi:10.1016/j.anclin.2018.09.010.
Gross JL, Perate AR, Elkassabany NM. Pain Management in Trauma in the Age of the Opioid Crisis. Anesthesiol Clin. 2019;37(1):79-91. PubMed PMID: 30711235.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pain Management in Trauma in the Age of the Opioid Crisis. AU - Gross,Jessica Lynn, AU - Perate,Alison R, AU - Elkassabany,Nabil M, Y1 - 2018/12/19/ PY - 2019/2/4/entrez PY - 2019/2/4/pubmed PY - 2019/5/29/medline KW - Adult trauma KW - Multimodal pain analgesia KW - Opioid crisis KW - Opioids KW - Pain management KW - Pediatric trauma SP - 79 EP - 91 JF - Anesthesiology clinics JO - Anesthesiol Clin VL - 37 IS - 1 N2 - It is imperative to find the balance between pain control and addressing the opioid epidemic. Opioids, although effective in the acute pain management, have multiple side effects and can lead to dependence, abuse, overdose, or death. Physicians should identify patients who abuse opioids, using their states' prescription drug-monitoring programs and use screening tools to identify patients at increased risk of developing opioid dependence. Multimodal analgesic plans, incorporating regional techniques, and nonopioid medications should be employed to reduce the amount of opioids received by patients. SN - 1932-2275 UR - https://www.unboundmedicine.com/medline/citation/30711235/Pain_Management_in_Trauma_in_the_Age_of_the_Opioid_Crisis L2 - https://linkinghub.elsevier.com/retrieve/pii/S1932-2275(18)30097-1 DB - PRIME DP - Unbound Medicine ER -