Hostname: page-component-8448b6f56d-jr42d Total loading time: 0 Render date: 2024-04-24T01:31:56.725Z Has data issue: false hasContentIssue false
  • English
  • Français

Analgesia in undifferentiated abdominal pain: Is it safe?

Published online by Cambridge University Press:  21 May 2015

Andrew Healey  and
Mark Mensour
Andrew Healey*
Affiliation:
Emergency Medicine Training Program, McMaster University, Hamilton, Ont.
Mark Mensour
Affiliation:
Department of Emergency Medicine, Northern Ontario School of Medicine, East Campus, Sudbury, Ont. and the Northeastern Ontario Family Medicine Program, Emergency Medicine and Anesthesia, Muskoka Algonquin Healthcare, Huntsville, Ont.
*
47 Valridge Drive, Ancaster ON L9G 4Y7; ahealey@sympatico.ca

Abstract

An abstract is not available for this content so a preview has been provided. As you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'

Keywords

abdominal painanalgesiaethics
Type
Education • Éducation
Information
Canadian Journal of Emergency Medicine , Volume 9 , Issue 2 , March 2007 , pp. 114 - 117
Copyright
Copyright © Canadian Association of Emergency Physicians 2007

References

1.Graber, MA, Ely, JW, Clarke, S, et al. Informed consent and general surgeons’ attitudes toward the use of pain medication in the acute abdomen. Am J Emerg Med 1999;17:113–6.Google Scholar
2.Analgesia and the acute abdomen [Editorial]. BMJ 1979;2:1093.CrossRefGoogle Scholar
3.Knopp, RK, Dries, D. Analgesia in acute abdominal pain: what’s next? Ann Emerg Med 2006;48:161–3.CrossRefGoogle ScholarPubMed
4.Cope, Z, Silen, W. The early diagnosis of the acute abdomen. New York (NY): Oxford University Press; 1921.Google Scholar
5.Ranji, SR, Goldman, LE, Simel, DL, et al. Do opiates affect the clinical evaluation of patients with acute abdominal pain? JAMA 2006;296:1764–74.CrossRefGoogle ScholarPubMed
6.Attard, AR, Corlett, MJ, Kidner, NJ, et al. Safety of early pain relief for acute abdominal pain. BMJ 1992;305:554–6.CrossRefGoogle ScholarPubMed
7.Pace, S, Burke, TF. Intravenous morphine for early pain relief in patients with acute abdominal pain. Acad Emerg Med 1996;3:1086–92.Google Scholar
8.Vermeulen, B, Morabia, A, Unger, PF, et al. Acute appendicitis: influence of early pain relief on the accuracy of clinical and US findings in the decision to operate-a randomized trial. Radiology 1999;210:639–43.CrossRefGoogle ScholarPubMed
9.Thomas, SH, Silen, W, Cheema, F, et al. Effects of morphine analgesia on diagnostic accuracy in emergency department patients with abdominal pain: a prospective, randomized trial. J Am Coll Surg 2003;196:18–31.CrossRefGoogle ScholarPubMed
10.Kim, MK, Strait, RT, Sato, TT, et al. A randomized clinical trial of analgesia in children with acute abdominal pain. Acad Emerg Med 2002;9:281–7.CrossRefGoogle ScholarPubMed
11.Green, R, Bulloch, B, Kabani, A, et al. Early analgesia for children with acute abdominal pain. Pediatrics 2005;116:978–83.CrossRefGoogle ScholarPubMed
12.Kokki, H, Lintula, H, Vanamo, K, et al. Oxycodone vs placebo in children with undifferentiated abdominal pain. Arch Pediatr Adolesc Med 2005;159:320–5.Google Scholar
13.Zoltie, N, Cust, MP. Analgesia in the acute abdomen. Ann R Coll Surg Engl 1986;68:209–10.Google ScholarPubMed
14.LoVecchio, F, Oster, N, Sturmann, K, et al. The use of analgesics in patients with acute abdominal pain. J Emerg Med 1997;15:775–9.CrossRefGoogle ScholarPubMed
15.Mahadevan, M, Graff, L. Prospective randomized study of analgesic use for ED patients with right lower quadrant abdominal pain. Am J Emerg Med 2000;18:753–6.Google Scholar
16.McHale, PM, LoVecchio, F. Narcotic analgesia in the acute abdomen-a review of prospective trials. Eur J Emerg Med 2001;8:131–6.CrossRefGoogle ScholarPubMed
17.Brewster, GS, Herbert, ME, Hoffman, JR. Medical myth: analgesia should not be given to patients with an acute abdomen because it obscures the diagnosis. West J Med 2000;172:209–10.CrossRefGoogle Scholar
18.Thomas, SH, Silen, W. Effect on diagnostic efficiency of analgesia for undifferentiated abdominal pain. Br J Surg 2003;90:5–9.CrossRefGoogle ScholarPubMed
19.Burke, T, Mack, S, Coward, B, et al. The use of intravenous morphine for early pain relief in patients with acute abdominal pain [abstract]. Acad Emerg Med 1994;1:A51.Google Scholar
20.Quinn, J. Debunking the myths of analgesia. CMAJ 1994; 151:914–5.Google ScholarPubMed
21.Rupp, T, Delaney, KA. Inadequate analgesia in emergency medicine. Ann Emerg Med 2004;43:494–503.CrossRefGoogle ScholarPubMed
22.Todd, KH. Emergency medicine and pain: a topography of influence. Ann Emerg Med 2004;43:504–6.CrossRefGoogle Scholar
23.Miner, J, Biros, MH, Trainor, A, et al. Patient and physician perceptions as risk factors for oligoanalgesia: a prospective observational study of the relief of pain in the emergency department. Acad Emerg Med 2006;13:140–6.Google Scholar
24.Shabbir, J, Ridgway, PF, Lynch, K, et al. Administration of analgesia for acute abdominal pain sufferers in the accident and emergency setting. Eur J Emerg Med 2004;11:309–12.Google Scholar
25.Wolfe, JM, Lein, DY, Lenkoski, K, et al. Analgesic administration to patients with an acute abdomen: a survey of emergency medicine physicians. Am J Emerg Med 2000;18-250-3.CrossRefGoogle ScholarPubMed
26.Goldman, RD, Crum, D, Bromberg, R, et al. Analgesia administration for acute abdominal pain in the pediatric emergency departaient. Pediatr Emerg Care 2006;22:18–21.CrossRefGoogle Scholar
27.Green, RS, Kabani, A, Dostmohamed, H, et al. Analgesic use in children with acute abdominal pain. Pediatr Emerg Care 2004;20:725–9.CrossRefGoogle ScholarPubMed
28.Kim, MK, Galustyan, S, Sato, TT, et al. Analgesia for children with acute abdominal pain: a survey of pediatric emergency physicians and pediatric surgeons. Pediatrics 2003;112:1122–6.Google Scholar
29.Gallagher, EJ, Esses, D, Lee, C, et al. Randomized clinical trial of morphine in acute abdominal pain. Ann Emerg Med 2006;48:150–60.CrossRefGoogle ScholarPubMed
30.Gallagher, EJ, Esses, D, Lee, C, et al. Randomized clinical trial of morphine in acute abdominal pain. Ann Emerg Med. 2006; 48:160e1-160e4. Available: http://download.journals.else vierhealth.com/pdfs/journals/01960644/PIIS0196064405019608.pdf (accessed 2006 Sept. 26).CrossRefGoogle ScholarPubMed
31.Marx, JA, Walls, RM, Hockberger, R, eds. Emergency Medicine: Concepts and Clinical Practice. 5th ed. St. Louis (MO): Mosby;2002.Google Scholar
32.Silen, W. Cope’s Early Diagnosis of the Acute Abdomen. New York (NY): Oxford; 2000:5.Google Scholar
33.Vessey, W, Siriwardena, A. Informed consent in patients with acute abdominal pain. Br J Surg 1998;85:1278–80.CrossRefGoogle ScholarPubMed
34.Kay, R, Siriwardena, AK. The process of informed consent for urgent abdominal surgery. J Med Ethics 2001;27:157–61.Google Scholar
35.Andress, D, Pace, S. Cognitive capacity after intravenous morphine administration. Ann Emerg Med 1992;21:1047.Google Scholar