Inadequate pain relief for patients with trauma: A cause for concern?

Sadasivam, Balakrishnan; Jhaj, Ratinder; Raj, Vishnu

doi:10.4103/0976-500x.119714

Cited by 2 publications

(3 citation statements)

References 4 publications

(7 reference statements)

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“…They noted that most analgesics were administered intramuscularly. 2 This study was contrary to our study where they found no significant difference with all three drugs.…”

Section: Discussioncontrasting

confidence: 99%

“…A large number of studies have shown that pain relief provided to patients in the ED is grossly inadequate. [1][2][3][4][5] The average time from arrival to the ED, the choice and administration of an analgesic and the adequacy of pain relief provided to the patients is a subject of much debate. The variety of analgesic agents available to the ED practitioner is also continually broadening.…”

Section: Introductionmentioning

confidence: 99%

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Management of Acute Trauma Pain in the Emergency Department – A Comparison of Intramuscular Ketorolac, Diclofenac and Tramadol

Sherif¹,

Shetty²

2020

IJCMR

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Introduction:Trauma is a chief cause of pain and suffering. A large number of studies have shown that pain relief provided to patients in the ED is grossly inadequate. Diclofenac, tramadol and ketorolac are the most commonly used intramuscular analgesics and hence selected for this comparative study. The aim of this study was to compare the analgesic duration, efficacy and side effect profile of diclofenac, tramadol and ketorolac administered intramuscularly in patients who presented to the ED with acute trauma pain. Material and methods: In a prospective double-blinded study, 90 patients presenting to the ED with musculoskeletal trauma were randomly selected and divided into 3 groups -Group A received 1 ml (50mg) Diclofenac; Group B received 1ml (30mg) Ketorolac; Group C received 1ml (50mg) Tramadol. The efficacy of the drug was measured by observing: pain score, onset & duration of action, rescue drug use, and the patient's global impression of efficacy of drugs. Collected data was analysed using ANOVA. Results: The time taken to administer the first dose of rescue analgesic was significantly (P <0.05) delayed in the Group B (276mins). Overall, mean scores were significantly better with (Group B) and were not significantly different between other (Group T) and (Group A). Conclusion: Ketorolac was a better analgesic compared to diclofenac and tramadol in managing acute trauma pain.

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“…They noted that most analgesics were administered intramuscularly. 2 This study was contrary to our study where they found no significant difference with all three drugs.…”

Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Management of Acute Trauma Pain in the Emergency Department – A Comparison of Intramuscular Ketorolac, Diclofenac and Tramadol

Sherif¹,

Shetty²

2020

IJCMR

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“…[4] However, trauma patients have reported concerns in pain management such as healthcare providers' lack of patients' pain assessment and their limited knowledge regarding pain management. [5][6][7] Patients' satisfaction with healthcare providers' pain management showed controversial findings. [3,8] The differences of sociocultural contexts among countries have been recognized as one of the influencing factors on how a person perceives pain experience, pain management, and pain outcomes.…”

Section: Introductionmentioning

confidence: 99%

Pain experience, pain management strategies and satisfaction of hospitalized trauma patients in Indonesia

Prastika

Kitrungrote

Damkliang

2017

JNEP

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Although trauma is a common cause of greater pain and interference on daily activities, little is known about pain experience, pain management strategies and pain management outcomes in hospitalized trauma patients in Indonesia. This descriptive study aimed (1) to assess the pain experience, (2) to describe pain management strategies, and (3) to describe satisfaction with pain management conducted by healthcare providers as perceived by trauma patients. A total of 154 hospitalized trauma patients from a teaching hospital in Indonesia were recruited from January to March 2016. Data were analyzed using descriptive and inferential statistics. The study found that most of the hospitalized trauma patients had single extremity fractures (56.49%) and mild head injury (20.13%). They have experienced a mild to moderate level of pain intensity and pain interference during the first three days of admission. These pain intensity and pain interference levels were found to be significantly decreased from the first to the third day. The pain management strategies often used by the healthcare providers were showing interest and asking about pain, assessing the outcomes after receiving analgesic drugs, and giving information about pain. The pain management strategies often used by patients were praying (86.36%), slow and deep breathing (77.27%), and reciting Dzikir (meditation) (68.18%). Patients reported that performing Dzikir and praying were the effective strategies to reduce their pain. The patients rated moderate to high levels of satisfaction with pain management conducted by healthcare providers. Therefore, combinations analgesic drugs with praying and performing Dzikir related to cultural contexts are crucial to alleviate pain among hospitalized trauma patients in Indonesia.

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Inadequate pain relief for patients with trauma: A cause for concern?

Cited by 2 publications

References 4 publications

Management of Acute Trauma Pain in the Emergency Department – A Comparison of Intramuscular Ketorolac, Diclofenac and Tramadol

Management of Acute Trauma Pain in the Emergency Department – A Comparison of Intramuscular Ketorolac, Diclofenac and Tramadol

Pain experience, pain management strategies and satisfaction of hospitalized trauma patients in Indonesia

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