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Clinical Policy: Critical Issues Related to Opioids in Adult Patients Presenting to the Emergency Department.

Abstract：

:This clinical policy from the American College of Emergency Physicians addresses key issues in opioid management in adult patients presenting to the emergency department. A writing subcommittee conducted a systematic review of the literature to derive evidence-based recommendations to answer the following clinical questions: (1) In adult patients experiencing opioid withdrawal, is emergency department-administered buprenorphine as effective for the management of opioid withdrawal compared with alternative management strategies? (2) In adult patients experiencing an acute painful condition, do the benefits of prescribing a short course of opioids on discharge from the emergency department outweigh the potential harms? (3) In adult patients with an acute exacerbation of noncancer chronic pain, do the benefits of prescribing a short course of opioids on discharge from the emergency department outweigh the potential harms? (4) In adult patients with an acute episode of pain being discharged from the emergency department, do the harms of a short concomitant course of opioids and muscle relaxants/sedative-hypnotics outweigh the benefits? Evidence was graded and recommendations were made based on the strength of the available data.

journal_name

Ann Emerg Med

journal_title

Annals of emergency medicine

authors

American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Opioids.,Hatten BW,Cantrill SV,Dubin JS,Ketcham EM,Runde DP,Wall SP,Wolf SJ

doi

10.1016/j.annemergmed.2020.06.049

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

e13-e39

issue

3

eissn

0196-0644

issn

1097-6760

pii

S0196-0644(20)30511-4

journal_volume

76

pub_type

杂志文章,实务指引

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