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Revista mexicana de anestesiología
versão impressa ISSN 0484-7903
Resumo
VELEZ-TOVAR, Luisa Fernanda; CRUZ-NOCELO, Evelyn Judith; SERRATOS-VAZQUEZ, María Concepción e ZUNIGA-CARMONA, Víctor Hugo. Treatment of acute pain from traumatic injury in patients with addictions. Rev. mex. anestesiol. [online]. 2022, vol.45, n.2, pp.107-113. Epub 29-Ago-2022. ISSN 0484-7903. https://doi.org/10.35366/103885.
Introduction:
Current guidelines for pain management in addiction patients do not address acute pain care.
Objective:
To describe the analgesic treatment schemes and the average dose of opioid required for the control of acute pain in psychoactive substance-using patients hospitalized in a trauma department.
Material and methods:
A descriptive, retrospective, and cross-sectional study was carried out by reviewing the records of patients with traumatic injury and a history of substance use who were treated under a multimodal analgesia scheme.
Results:
75 patients with a mean age of 32 (± 9.6) years were included. The most frequently prescribed opioid was buprenorphine in 48% (mean dose 644 µg/24h), followed by morphine in 28% (mean dose 20 mg/24h) and tramadol in 24% of patients (mean dose 195 mg/24h). There was not statistically significant difference (p < 0.05) in pain control between the three groups, except that the intensity of pain in the morphine group was greater at 24 hours.
Conclusion:
The patients treated with buprenorphine had better pain control compared to the morphine group, although doses 40% higher than those recommended for trauma patients were required.
Palavras-chave : Substance-related disorders; acute pain; analgesia; wounds and injuries.