Review: Opiate administration may alter physical examination findings, but does not increase management errors in acute abdominal pain

Edmonds, Marcia
January 2007
ACP Journal Club;Jan/Feb2007, Vol. 146 Issue 1, p21
Academic Journal
The article discusses the effects of administering opiate analgesics to patients suffering from acute abdominal pain. Studies revealed that opiate analgesics change the physical examination results of patients with abdominal pain. Differences were also compared between the use of opiate analgesics and placebo for treating acute abdominal pain.


Related Articles

  • Post-Laparoscopic Cholecystectomy Pain: Effects of Intraperitoneal Local Anesthetics on Pain Control--A Randomized Prospective Double-Blinded Placebo-Controlled Trial. Ahmed, Bestoun H.; Ahmed, Aryan; Dongfeng Tan; Awad, Ziad T.; Al-Aali, Ali Yousef; Kilkenny III, John; Orlando, Frank A.; Al-Chalabi, Abbas; Crass, Richard; Alrawi, Sadir J. // American Surgeon;Mar2008, Vol. 74 Issue 3, p201 

    Postoperative pain after laparoscopic cholecystectomy (LC) is generally less than open cholecystectomy; however, the postoperative shoulder and abdominal pain experienced by patients still causes preventable distress. Intraperitoneal irrigation of the diaphragmatic surface and gallbladder fossa...

  • Do patients with acute abdominal pain wait unduly long for analgesia? Tait, Iain S.; Ionescu, Magdalena V.; Cuschieri, Alfred // Journal of the Royal College of Surgeons of Edinburgh;Jun99, Vol. 44 Issue 3, p181 

    Discusses local surgical practice for analgesia administration in patients with acute abdominal pain. Investigation of the waiting time for analgesia and how it was influenced by factors such as severity of pain; Factors behind the delays in the administration of analgesia.

  • Safety of early pain relief for acute abdominal pain. Attard, Alex R.; Corlett, Michael J.; Kindner, Nigel J.; Leslie, Apsara P.; Fraser, Ian A. // BMJ: British Medical Journal (International Edition);9/5/92, Vol. 305 Issue 6853, p554 

    Discusses the safety of early pain relief for acute abdominal pain. Efficacy of papaveretum in treating abdominal pain; Effects of papaveretum on diagnosis of abdominal pain; Management of patients with abdominal pain.

  • Onset of analgesia with sodium ibuprofen, ibuprofen acid incorporating poloxamer and acetaminophen—a single-dose, double-blind, placebo-controlled study in patients with post-operative dental pain. Daniels, Stephen; Reader, Sandie; Berry, Phillip; Goulder, Michael // European Journal of Clinical Pharmacology;Apr2009, Vol. 65 Issue 4, p343 

    To compare the onset of action and efficacy of sodium ibuprofen (ibuprofen sodium dihydrate) and ibuprofen acid incorporating poloxamer (ibuprofen/poloxamer) with that of acetaminophen and placebo in patients with post-operative dental pain. A double-blind, randomised, placebo-controlled, active...

  • Tramadol Relieves Neuropathic Pain. Ebell, Mark // American Family Physician;5/1/2007, Vol. 75 Issue 9, p1335 

    The article examines the effectiveness of a pain reliever called tramadol in treating neuropathic pain. It notes that one of four patients who take the pain reliever achieves at least 50 percent pain relief. A background of studies which compared tramadol with placebo is presented. Also stated...

  • Adequate analgesia for acute pain. Roughneen, Patrick T.; Burns, Henry J.; Rowlands, Brian J. // British Medical Journal (Clinical Research Edition);3/8/1986, Vol. 292 Issue 6521, p663 

    Examines the efficacy of analgesia for the treatment of patients with acute abdominal pain. Etiology of the disease; Signs and symptoms of the disease; Identification of the contraindication of anagelsia.

  • Intra-articular morphine or neostigmine does not assure better pain relief. Svediene, Saule; Andrijauskas, Audrius; Ivaskevicius, Juozas // Central European Journal of Medicine;Oct2011, Vol. 6 Issue 5, p645 

    Background and Objectives: Choice of optimal postoperative analgesia technique remains challenging. Our double - blind randomized prospective clinical study compares efficacy of end-of- surgery intra-articular application of morphine or neostigmine after anterior crutiate ligament repair....

  • Ultrasound-guided Transversus abdominal plane block with multimodal analgesia for pain management after total abdominal hysterectomy. Gasanova, Irina; Grant, Erica; Way, Megan; Rosero, Eric; Joshi, Girish // Archives of Gynecology & Obstetrics;Jul2013, Vol. 288 Issue 1, p105 

    Background: Transversus abdominis plane (TAP) block has been shown to provide pain relief after abdominal procedures. However, TAP block combined with multimodal analgesia technique have not been assessed in a randomized controlled trial. This randomized, controlled, observer-blinded study was...

  • Placebo analgesia in patients with functional and organic abdominal pain: a fMRI study in IBS, UC and healthy volunteers. Schmid, Julia; Langhorst, Jost; Gaß, Florian; Theysohn, Nina; Benson, Sven; Engler, Harald; Gizewski, Elke R.; Forsting, Michael; Elsenbruch, Sigrid // Gut;Mar2015, Vol. 64 Issue 3, p418 

    Objective: Understanding the neural circuitry of placebo analgesia in the context of visceral pain is increasingly important given evidence of clinical benefit of placebo treatment in IBS. This functional MRI study addressed placebo analgesia in IBS, UC and healthy control (HC) volunteers....


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics