Intravenous Acetaminophen Reduced the Use of Opioids Compared With Oral Administration After Coronary Artery Bypass Grafting

Pettersson, Pia Holmér; Jakobsson, Jan; Öwall, Anders

doi:10.1053/j.jvca.2005.03.006

Cited by 108 publications

(78 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Thus, these results are parallel with the conclusion of Petterson et al, suggesting that additional intravenous administration of paracetamol provides a limited decrease in opioid dose in postoperative pain, which is not sufficient to achieve a better side-effect profile [16].…”

Section: Discussionsupporting

confidence: 79%

Effect of intravenous administration of paracetamol on morphine consumption in cancer pain control

Tasmacioglu

Aydınlı

Keskinbora

et al. 2009

Support Care Cancer

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 79%

Effect of intravenous administration of paracetamol on morphine consumption in cancer pain control

Tasmacioglu

Aydınlı

Keskinbora

et al. 2009

Support Care Cancer

View full text Add to dashboard Cite

show abstract

“…However, their safety profile and effectiveness as sole agents for pain management have not been adequately studied in critically ill patients. IV acetaminophen has been recently approved for use in the United States and has been shown to be safe and effective when used in conjunction with opioids for postoperative pain in surgical ICU patients following major or cardiac surgery (80,(86)(87)(88)(89). IV acetaminophen has been recently approved for use in the United States and has been shown to be safe and effective when used in conjunction with opioids for postoperative pain in surgical ICU patients following major or cardiac surgery (80,(86)(87)(88)(89).…”

Section: Treatment Of Painmentioning

confidence: 99%

Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit

Barr

Fraser

Puntillo

et al. 2013

Critical Care Medicine

3,184

3,013

View full text Add to dashboard Cite

show abstract

“…Intravenously administered acetaminophen is now approved for use in the USA. Its safety and effectiveness as an adjunct to opioids have been demonstrated in ICU patients after major general [41] and cardiac surgery, but it may not be necessary unless enteral administration is contraindicated [49]. Ketamine, an anesthetic and analgesic agent, has been used in ICU patients to help prevent or reduce opioid tolerance and to provide pain relief, especially when pain is refractory to opioids and other agents [50, 51].…”

Section: What Are Current Strategies For Managing Symptoms During Crimentioning

confidence: 99%

Palliative care in the ICU: relief of pain, dyspnea, and thirst—A report from the IPAL-ICU Advisory Board

Puntillo¹,

et al. 2013

View full text Add to dashboard Cite

Purpose Pain, dyspnea, and thirst are three of the most prevalent, intense, and distressing symptoms of intensive care unit (ICU) patients. In this report, the interdisciplinary Advisory Board of the Improving Palliative Care in the ICU(IPAL-ICU) Project brings together expertise in both critical care and palliative care along with current information to address challenges in assessment and management. Methods We conducted a comprehensive review of literature focusing on intensive care and palliative care research related to palliation of pain, dyspnea, and thirst. Results Evidence-based methods to assess pain are the enlarged 0–10 Numeric Rating Scale (NRS) for ICU patients able to self-report and the Critical Care Pain Observation Tool or Behavior Pain Scale for patients who cannot report symptoms verbally or non-verbally. The Respiratory Distress Observation Scale is the only known behavioral scale for assessment of dyspnea, and thirst is evaluated by patient self-report using an 0–10 NRS. Opioids remain the mainstay for pain management, and all available intravenous opioids, when titrated to similar pain intensity end points, are equally effective. Dyspnea is treated (with or without invasive or noninvasive mechanical ventilation) by optimizing the underlying etiological condition, patient positioning and, sometimes, supplemental oxygen. Several oral interventions are recommended to alleviate thirst. Systematized improvement efforts addressing symptom management and assessment can be implemented in ICUs. Conclusions Relief of symptom distress is a key component of critical care for all ICU patients, regardless of condition or prognosis. Evidence-based approaches for assessment and treatment together with well-designed work systems can help ensure comfort and related favorable outcomes for the critically ill.

show abstract

Intravenous Acetaminophen Reduced the Use of Opioids Compared With Oral Administration After Coronary Artery Bypass Grafting

Cited by 108 publications

References 18 publications

Effect of intravenous administration of paracetamol on morphine consumption in cancer pain control

Effect of intravenous administration of paracetamol on morphine consumption in cancer pain control

Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit

Palliative care in the ICU: relief of pain, dyspnea, and thirst—A report from the IPAL-ICU Advisory Board

Contact Info

Product

Resources

About