2024, Number 4
Rev Mex Anest 2024; 47 (4)
The rationale for in-hospital guidelines for the safe use of analgesic infusions in a world lacking acute pain clinics
Calderón-Vidal M, Moisen-Moreno C, Castorena-Arellano GA
Language: Spanish
References: 9
Page: 302-304
PDF size: 173.50 Kb.
ABSTRACT
22-year-old female who developed a single episode of apnea and desaturation approximately 10-12 hours after her ankle surgery, where she received a single dose of intrathecal morphine as an option for pain management. In many hospitals, there are no protocols that dictate the security measures for every patient receiving opioids or other analgesic infusions such as IV lidocaine or ketamine in hospital wards, which might jeopardize the safety of our patients with major or minor adverse events. Although the spread of acute pain clinics has been poor in recent years, the increase in diverse techniques for acute pain management continues to grow and is implemented without creating a safety net for those patients. The results of phase 2 of the Pain Out project showed that in our hospital, the use of opioids and infusions is an everyday routine. As anesthesiologists, we need to propose a safety protocol for delivering those patients to the wards that are under the supervision of non-anesthesiologists most of the time.REFERENCES
Committee on Evidence-Based Clinical Practice Guidelines for Prescribing Opioids for Acute Pain, Board on Health Care Services, Health and Medicine Division, National Academies of Sciences, Engineering, and Medicine. Framing opioid prescribing guidelines for acute pain: Developing the evidence. Washington, D.C.: National Academies Press; 2019.