Prescribing of analgesics in trauma patients

Brian L Erstad, Shilpa Chopda, Michael J. Esser

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: To evaluate whether initial orders of pain medications by physicians for trauma patients were in accordance with published guidelines. Design: Concurrent, nonrandomized investigation conducted over 4 months. Materials and Methods: All adult trauma patients admitted to the intensive care unit within 12 hours of injury who stayed for at least 1 hour were eligible for study admission. Patients with injuries prohibiting accurate pain assessment (e.g., Glasgow Coma Score <8, spinal cord injury) were excluded. Initial orders for pain medications were compared to published guidelines; correlations between dose and patient demographics were studied. Results: Of the 30 patients enrolled in the study, 83% were prescribed appropriate pain control regimens. The average dose of morphine administered during each of the 8-hour dosing intervals was approximately 12 mg. No relationship was found between patient age, sex, Glasgow Coma Score, and morphine dose; however, there was a positive correlation found between Injury Severity Score and dose. Conclusions: The majority of patients in this investigation were initially prescribed appropriate doses and intervals for pain management.

Original languageEnglish (US)
Pages (from-to)27-30
Number of pages4
JournalAmerican Journal of Therapeutics
Volume4
Issue number1
StatePublished - 1997

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Analgesics
Wounds and Injuries
Coma
Pain
Morphine
Guidelines
Injury Severity Score
Pain Measurement
Pain Management
Spinal Cord Injuries
Intensive Care Units
Demography
Physicians

ASJC Scopus subject areas

  • Pharmacology

Cite this

Prescribing of analgesics in trauma patients. / Erstad, Brian L; Chopda, Shilpa; Esser, Michael J.

In: American Journal of Therapeutics, Vol. 4, No. 1, 1997, p. 27-30.

Research output: Contribution to journalArticle

Erstad, BL, Chopda, S & Esser, MJ 1997, 'Prescribing of analgesics in trauma patients', American Journal of Therapeutics, vol. 4, no. 1, pp. 27-30.
Erstad, Brian L ; Chopda, Shilpa ; Esser, Michael J. / Prescribing of analgesics in trauma patients. In: American Journal of Therapeutics. 1997 ; Vol. 4, No. 1. pp. 27-30.
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