Adverse effects of opioids and the ongoing crisis of opioid abuse have prompted providers to reduce prescribing opioids and increase use of multiple nonpharmacologic therapies, nonopioid analgesics, and co-analgesics for pain management in trauma patients. Nonopioid agents, including acetaminophen, nonsteroidal anti-inflammatory drugs, gabapentinoids, ketamine, central α2 agonists, and lidocaine, can be used as adjuncts or alternatives to opioids in the trauma population. Complementary therapies such as acupuncture, virtual reality, and mirror therapy are modalities that also may be helpful in reducing pain. Performing pain assessments is fundamental to identify pain and evaluate treatment effectiveness in the critically ill trauma patient. The efficacy, safety, and availability of opioid-sparing therapies and multimodal pain regimens are reviewed.
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Symposium Trauma Update| March 15 2021
Optimizing Pain Control and Minimizing Opioid Use in Trauma Patients
Shanna Fortune, DNP, APRN, AGACNP-BC, ACCNS-AG, CCRN;
Shanna Fortune, DNP, APRN, AGACNP-BC, ACCNS-AG, CCRN
Shanna Fortune is Advanced Practice Registered Nurse, Trauma Acute Pain Management Service, R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, Maryland.
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Jennifer Frawley, PharmD, BCPS, BCCCP
AACN Adv Crit Care (2021) 32 (1): 89–104.
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Shanna Fortune, Jennifer Frawley; Optimizing Pain Control and Minimizing Opioid Use in Trauma Patients. AACN Adv Crit Care 15 March 2021; 32 (1): 89–104. doi: https://doi.org/10.4037/aacnacc2021519
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