An assessment of physicians attitudes toward opioid usage and opiophobia: results of a survey from a training and research hospital

Baldemir, Ramazan; Akçaboy, Erkan Yavuz; Noyan, Özgen; Akçaboy, Zeynep Nur; Baydar, Mustafa; Çelik, Şeref

doi:10.5505/agri.2018.03411

Cited by 4 publications

(5 citation statements)

References 8 publications

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“…As a matter of fact, in severe acute pain such as the pain of trauma, pain guidelines recommend that strong opioids and multimodal analgesia should be preferred first. 9,12,13,20 However, studies in the literature show that healthcare professionals avoid opioid use even if the pain is severe, so multimodal analgesia is not used frequently. 20,21 This is thought to be due to the severe side effects of opioids.…”

Section: Discussionmentioning

confidence: 99%

“…9,12,13,20 However, studies in the literature show that healthcare professionals avoid opioid use even if the pain is severe, so multimodal analgesia is not used frequently. 20,21 This is thought to be due to the severe side effects of opioids. 22 Although opioids continue to be used as the "gold standard" for pain management, 13 may lead healthcare professionals to be cautious in the early stages of trauma to avoid the risk of respiratory depression and opioid addiction in the patient.…”

Section: Discussionmentioning

confidence: 99%

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Travma Hastalarında Multimodal Analjezi ve Ağrı Değerlendirme Kayıtlarının İncelenmesi

TURA

Erden

2023

Online Türk Sağlık Bilimleri Dergisi

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Objective: This study aimed to reduce the side effects of multiple pain sources and investigate the effectiveness of multiple analgesics in trauma pain. Materıals and Methods: The research was conducted with nurse observation forms of 190 trauma patients hospitalised in the emergency unit of a university hospital between March 1 and September 30, 2019. In the statistical analysis, per cent mean, min-max values and standard deviation were used for descriptive data. Paired Simle t-test was used for repeated measurements of the double-dependent variable. Results: The mean age of the patients included in the study was 40.94±15.18 years, and 65.8% were male. While the cause of 47.9% of traumas is traffic accidents, 37.9% of the patients have multiple traumas. The pain was evaluated in 55.7% of the patients, and multimodal analgesia was applied in 71.6% of the patients, and it was determined that the pain of the patients decreased. Conclusions: Accordingly, this study supports the treatment of trauma pain with multiple sources of pain with a multimodal analgesia approach. In addition, the pain was not appropriately assessed as recommended in the acute pain guidelines. Therefore, nurses should increase awareness of pain assessment records for effective pain management.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Travma Hastalarında Multimodal Analjezi ve Ağrı Değerlendirme Kayıtlarının İncelenmesi

TURA

Erden

2023

Online Türk Sağlık Bilimleri Dergisi

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“…On adding clinicians’ lack of training in pain control and inadequate pain assessment, analgesia management may be inadequate. Another important factor is the reluctance to administer opioids [ 12 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, failure to report pain in elderly patients should not be interpreted as the absence of pain, and comprehensive approaches should be used for pain assessment [ 11 ]. The reasons for inadequate pain control by clinicians include lack of education, inadequate pain assessment, and reluctance to administer opioids, which may result in inadequate analgesic therapy [ 12 , 13 ]. When the pharmacokinetic and pharmacodynamic changes that occur with aging are added to this situation, serious problems can be encountered.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Thoracic Epidural Analgesia and Thoracic Paravertebral Block Applications in the Treatment of Acute Pain After Thoracotomy in Geriatric Patients

Zengin¹,

Alagöz²

2021

Cureus

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“…Clinicians are often reluctant to use opioids because of their potential side effects [ 16 , 17 ]. Additionally, in elderly patients, increased sensitivity to opioids due to pharmacodynamic and pharmacokinetic changes should be considered.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Patient-Controlled Analgesia With Tramadol or Morphine After Video-Assisted Thoracoscopic Surgery in Geriatric Patients

Ulger¹,

Baldemir²

2021

Cureus

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BackgroundAlthough video-assisted thoracoscopic surgery (VATS) is a less invasive technique compared to thoracotomy, patients often experience postoperative pain. Hence, intravenous patient-controlled analgesia (PCA) is frequently used. The geriatric age group constitutes a significant portion of patients undergoing thoracic surgery. However, pain management can often be difficult in elderly patients. In this study, we aimed to examine the pain management techniques applied in geriatric patients who underwent VATS and to compare the efficacy and side effects of PCA with morphine and tramadol. MethodologyThe following patients were included in this study: aged 65 years and older, those who underwent elective VATS under general anesthesia, and those who underwent thoracic paravertebral block in the operating room for postoperative pain. We recorded diagnoses, demographic data, American Society of Anesthesiologists status, complications developed during the intraoperative or postoperative 24 hours, postoperative rest and cough Visual Analog Scale (VAS), and need for additional analgesics. The patients were divided into the following two groups: those treated with tramadol PCA (tramadol group) and those treated with morphine PCA (morphine group). ResultsA total of 65 patients were included in this study. Overall, 22 patients were administered tramadol PCA while 43 were administered morphine PCA. There was no statistically significant difference between the groups concerning complications. The 24-hour VAS resting score was statistically significantly lower in patients administered morphine than those administered tramadol (p < 0.05). There was no statistically significant difference between the groups concerning zero-minute, thirty-minute, one-hour, two-hour, six-hour, and twelve-hour VAS resting and cough scores at all times (p > 0.05). ConclusionsThere was no significant difference in the tramadol and morphine groups concerning analgesic efficacy, patient satisfaction, and side effects among geriatric patients who underwent VATS and were administered intravenous PCA. In our view, both tramadol and morphine can be used safely in geriatric patients requiring intravenous PCA. Moreover, because the 24-hour analgesic efficacy was observed to be better in the morphine group in our study, morphine can be preferred in geriatric patients.

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An assessment of physicians attitudes toward opioid usage and opiophobia: results of a survey from a training and research hospital

Cited by 4 publications

References 8 publications

Travma Hastalarında Multimodal Analjezi ve Ağrı Değerlendirme Kayıtlarının İncelenmesi

Travma Hastalarında Multimodal Analjezi ve Ağrı Değerlendirme Kayıtlarının İncelenmesi

Comparison of Thoracic Epidural Analgesia and Thoracic Paravertebral Block Applications in the Treatment of Acute Pain After Thoracotomy in Geriatric Patients

Comparison of Patient-Controlled Analgesia With Tramadol or Morphine After Video-Assisted Thoracoscopic Surgery in Geriatric Patients

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