Pain Management and Analgesia Procedures and Strategies in the Emergency Department

Ausmus, Jason

doi:10.1016/j.cpha.2022.08.013

Cited by 1 publication

(1 citation statement)

References 33 publications

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“…The use of analgesics is the primary form of management against odontogenic pain [16]. The dentist must control pain in the best possible way, visualizing their options and following the World Health Organization (WHO) analgesic ladder.…”

Section: Analgesicsmentioning

confidence: 99%

Analgesia in Pregnant Patients: A Literature Review

Lopes,

Carneiro

2024

Braz. Journ. Dentistry Oral Rad.

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Pregnant patients physiologically undergo various changes in their bodies due to hormonal actions. The oral cavity is not exempt from these alterations, and repercussions on oral health are also identified. It is essential to provide safe and appropriate dental care during pregnancy, taking into account the gestational trimester and the patient's overall health. Analgesia in pregnant patients remains a taboo for many professionals, especially for newly graduated dental surgeons. The use of local anesthetics in the office as a pain control method makes the procedure safer and more efficient. Regarding orally administered analgesics, acetaminophen is considered the first choice, with dipyrone as the second option. Aspirin, ibuprofen, and corticosteroids may be an option, but their use should be rationalized and when the benefits outweigh the risks to the maintenance of pregnancy and maternal health. The use of analgesia or reduction of the pain protocol in a pregnant patient in the office can be performed with 2% lidocaine with epinephrine, as it is considered safe. However, certain anesthetics, such as benzocaine and procaine, should be avoided due to risks of methemoglobinemia. Nonetheless, the professional must always weigh the risks and benefits of using analgesic medications for the pregnant patient and the fetus when choosing the medication.

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Section: Analgesicsmentioning

confidence: 99%