De beschikbaarheid en de inhoud van acute pijn protocollen op de SEH’s in Nederland

Gaakeer MI, van Lieshout JM, Bierens JJ. Pain management in emergency departments: a review of present protocols in The Netherlands. Eur J Emerg Med 2009 Oct 8

Deze beschrijvende studie presenteert de beschikbaarheid en de inhoud van acute pijn protocollen op spoedeisde hulp afdelingen in Nederland. Huidige acute pijn protocollen werden verzameld en een a priori lijst van vragen werd gebruikt voor analyse. Bevindingen werden vergeleken met de huidige internationale normen.

This descriptive study presents availability and content of acute pain protocols in emergency departments (EDs) in The Netherlands. Current acute pain protocols were collected and an a priori list of questions was used for analysis. Findings were compared with current international standards. Sixty-six of the 108 EDs responded. Fifty-six percent of the protocols did not address adults and 35% did not address children. Protocols were rather conservative and showed poor multidisciplinary approach. Seventy-three percent required a diagnosis before pain relief. Six percent did not include opioids, 36% did not allow intravenous opioids and only 49% allowed direct administration of opioids in severe pain. Pain measurement was included in 55% and in only 5% a target score was defined. Nonpharmacological approaches were mentioned in 6%. Acute pain protocols are lacking in many EDs. Most protocols did not apply current standards. We exposed an area with space for leadership

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