The Evolving Landscape of Acute Pain Management in the Era of the Opioid Crisis
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Purpose of Review
The purpose of the study is to evaluate and analyze the role of both opioid and non-opioid analgesics in the emergency department (ED).
Studies have shown that the implementation of opioid-prescribing policies in the ED has the potential to reduce the opioid addiction burden. Clinical studies point to inconsistencies in providers’ approach to pain treatment. In this review, we discuss specific aspects of opioid utilization and explore alternative non-opioid approaches to pain management.
Pain is the most common reason patients present to the ED. As such, emergency medicine (EM) providers must be well versed in treating pain. EM providers must be comfortable using a wide variety of analgesic medications. Opioid analgesics, while effective for some indications, are associated with significant adverse effects and abuse potential. EM providers should utilize opioid analgesics in a safe and rational manner in an effort to combat the opioid epidemic and to avoid therapeutic misadventures. EM providers should be aware of all of their therapeutic options, e.g., opioid and non-opioid, in order to provide effective analgesia for their patients, while avoiding adverse effects and minimizing the potential for misuse.
KeywordsOpioid Prescriptions Non-opioid pain medications NSAIDS
Compliance with Ethical Standards
Conflict of Interest
Ali Pourmand, Gregory Jasani, Courtney Shay, and Maryann Mazer-Amirshahi declare no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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