Opioid crisis: a public health concern in Colorado, United States

Adeosun, Adeyemi A

doi:10.29392/joghr.3.e2019056

Cited by 2 publications

(3 citation statements)

References 6 publications

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“…The overuse of opioids crisis in the United States found opioid-related deaths increased by 4 times between 1999 and 2014 (Emerling, 2018). Modifications in policies were made, but the overdose deaths among young adults continue to increase (Adeosun, 2019). This led to an increased number of children no longer cared for by drug-using parents.…”

Section: Reasons For the Increase In Grandfamiliesmentioning

confidence: 99%

Precipitating Factors Related to the Formation of Grandfamilies

Joseph

Goodrich

2020

Journal of Pediatric Surgical Nursing

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The physical and emotional absence of parents persuades grandparents to assume responsibility for their grandchildren. Several reasons exist for this situation including parent absenteeism secondary to drug use. An increase in deaths associated with substance/drug use, despite regulations, indicates a growing trend toward grandfamilies. Such social and family dynamics have consequences for grandparents, children, health care providers, and other members of the health care team. This article examined the literature for the reasons leading to grandfamilies, the consequences, and the nurse's responsibility.

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Section: Reasons For the Increase In Grandfamiliesmentioning

confidence: 99%

Precipitating Factors Related to the Formation of Grandfamilies

Joseph

Goodrich

2020

Journal of Pediatric Surgical Nursing

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“…Incidence of opioid abuse and related death is alarmingly high in the United States of America (USA), and on the rise in Canada, Australia, and in England and Wales. [14][15][16][17][18][19] About 560 deaths were recorded in Colorado, USA in 2017 and 47,600 deaths same year in the whole of the USA from opioid overdose. [14][15][16] Canada recorded 2,861 apparent opioid-related deaths in 2016, and 1,045 Australians died from opioid overdose in 2016.…”

mentioning

confidence: 99%

“…[14][15][16][17][18][19] About 560 deaths were recorded in Colorado, USA in 2017 and 47,600 deaths same year in the whole of the USA from opioid overdose. [14][15][16] Canada recorded 2,861 apparent opioid-related deaths in 2016, and 1,045 Australians died from opioid overdose in 2016. 17,18 Nigeria is also experiencing an unprecedented degree of opioid abuse especially of codeine and tramadol.…”

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confidence: 99%

Single-centre, randomized, clinical trial of opioid-free analgesia versus routine opioid-based analgesia regimen for the management of acute post-operative pain following caesarean section: study protocol

et al. 2022

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Background: Pain management post-caesarean section is a common source of exposure to opioids in women. To address the rising opioid addiction associated with peri-operative administration, trend in operative analgesia is moving towards opioid-free, multimodal analgesia. We present our protocol for this study so that it may be replicated in other settings and possibly modified for future studies.Methods: In a Single-centre, non-inferiority, parallel, randomized, controlled, clinical trial with balanced allocation [1:1] into two arms, we compared a peri-operative opioid-free analgesia regimen with a routine post-operative opioid-based analgesia regimen in women undergoing caesarean section under spinal anaesthesia. Primary outcome measures were post-operative pain intensity at 4, 8 and 24 hours (using Numerical Rating Scale) and post-operative pentazocine use. Secondary outcome measures were the incidence of adverse events and Apgar score. Results will be published in a peer-reviewed, open access journal.Conclusions: This protocol adopted the use of intravenous paracetamol and intravenous NSAID as baseline analgesics. Magnesium sulphate was introduced peri-operatively as part of our opioid-free multimodal analgesia regimen because of its established effect in decreasing post-operative pain and opioid use. We also relied on the preventive analgesic effect of administration of intravenous paracetamol and intravenous magnesium sulphate before surgical incision, continued intraoperatively and post-operatively. In addition, magnesium sulphate is a familiar drug to the obstetrician, readily available and affordable in most settings where comprehensive emergency obstetric care is offered, easy to administer and it has been well tolerated clinically.Trial registration: This protocol was registered with clinicaltrials.gov (Identifier: NCT04539249) on September 3, 2020, prospectively.

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Opioid crisis: a public health concern in Colorado, United States

Cited by 2 publications

References 6 publications

Precipitating Factors Related to the Formation of Grandfamilies

Precipitating Factors Related to the Formation of Grandfamilies

Single-centre, randomized, clinical trial of opioid-free analgesia versus routine opioid-based analgesia regimen for the management of acute post-operative pain following caesarean section: study protocol

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