Opioid administration for acute abdominal pain in the pediatric emergency department.
J Opioid Manag
; 3(1): 11-4, 2007.
Article
em En
| MEDLINE
| ID: mdl-17367089
ABSTRACT
The use of opioid analgesia for acute abdominal pain of unclear etiology has traditionally been thought to mask symptoms, alter physical exam findings, delay diagnosis, and increase morbidity and mortality. However, studies in children and adults have demonstrated that administering intravenous opioids to patients with acute abdominal pain induces analgesia but does not delay diagnosis or adversely affect diagnostic accuracy. This review discusses the effects of opioid administration on pain relief and diagnostic accuracy in children with moderate to severe acute abdominal pain who have been evaluated in the emergency department. We hold that current evidence supports the administration of opioids to children with acute abdominal pain, and future trials will help determine safe and effective timing and dosing related to opioid administration.
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Base de dados:
MEDLINE
Assunto principal:
Abdome Agudo
/
Analgesia
/
Analgésicos Opioides
Tipo de estudo:
Diagnostic_studies
Limite:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Humans
/
Infant
Idioma:
En
Ano de publicação:
2007
Tipo de documento:
Article