Analgesic use in intubated patients during acute resuscitation

The Journal of Trauma
Anne ChaoC William Schwab

Abstract

Pain relief can often be overlooked during a busy trauma resuscitation, especially in patients who are intubated. We sought to investigate qualitative and quantitative aspects of analgesic use in intubated patients during the acute phase of resuscitation. We evaluated a retrospective cohort of consecutive adult patients who were intubated during the acute trauma resuscitation (first 6 hours) from January 2001 to May 2002 at a Level I trauma center in the United States. Patient demographics, injuries, vital signs, medications, trauma bay procedures, and disposition status were analyzed. Analgesia was recorded as the type of analgesic, route of administration, elapsed time to receive the first analgesic, total dosage, and time intervals between two successive doses. Fisher's exact test, chi test, and ANOVA were used to analyze data. A total of 120 patients were included. Sixty-one (51%) patients received analgesia during their stay in the emergency department. Using logistic regression analysis, patients who more likely to receive analgesia were those who did not require immediate surgical operation and were transferred to the intensive care unit (odds ratio [OR]=3.91; 95% CI=1.75-8.76) and those who were admitted during the hour...Continue Reading

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Citations

Mar 19, 2014·The American Journal of Emergency Medicine·Mark J ConroyJestin N Carlson
Jul 12, 2013·Annals of Emergency Medicine·Jestin N Carlson, Henry E Wang
Jul 12, 2013·Annals of Emergency Medicine·Steven M Green, Richelle J Cooper
Oct 5, 2015·The Journal of Emergency Medicine·Erin Robey-Gavin, Lamies Abuakar
Jul 10, 2012·The American Journal of Emergency Medicine·Gregory S WeingartHenry E Wang
Mar 24, 2012·Annales Françaises D'anesthèsie Et De Rèanimation·X CombesUNKNOWN groupe d’experts Sfar–SFMU
Apr 16, 2008·The American Journal of Emergency Medicine·Jordan B BonomoArvind Venkat
Mar 16, 2019·Minerva anestesiologica·Federico Franchi, Sabino Scolletta
Apr 12, 2012·The Journal of Trauma and Acute Care Surgery·Christopher P MichettiLinda Robinson
Feb 1, 2019·Pediatric Emergency Care·Kathleen BergMatthew Wilkinson

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