Sickle cell vaso-occlusive pain crisis in adults: alternative strategies for management in the emergency department.

Abstract:

:The gene for sickle cell disease is carried by 8% of the African-American population in the United States. The primary care physician is often called upon to recognize and treat one of the major sequelae of sickle cell disease--vaso-occlusive pain crisis. An injectable nonsteroidal anti-inflammatory drug has recently become available and may offer some improvement in outcome of vaso-occlusive pain crises. We present five case reports reviewing various current therapeutic options, including newer pharmacologic agents, and comment on alternatives to impatient management of pain crises. The use of the emergency department short-term observation unit as an alternative to hospitalization is discussed.

journal_name

South Med J

journal_title

Southern medical journal

authors

Sanders DY,Severance HW,Pollack CV Jr

doi

10.1097/00007611-199208000-00005

subject

Has Abstract

pub_date

1992-08-01 00:00:00

pages

808-11

issue

8

eissn

0038-4348

issn

1541-8243

journal_volume

85

pub_type

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