Intermittent injection vs patient-controlled analgesia for sickle cell crisis pain. Comparison in patients in the emergency department

1991 ◽  
Vol 151 (7) ◽  
pp. 1373-1378 ◽  
Author(s):  
E. R. Gonzalez
Keyword(s):  
Emergency Department ◽  
Sickle Cell ◽  
Patient Controlled Analgesia ◽  
Sickle Cell Crisis

l -arginine levels are diminished in adult acute vaso-occlusive sickle cell crisis in the emergency department

2003 ◽  
Vol 120 (3) ◽  
pp. 532-534 ◽  
Author(s):  
Bernard L. Lopez ◽  
Allyson A. Kreshak ◽  
Claudia R. Morris ◽  
Linda Davis-Moon ◽  
Samir K. Ballas ◽  
...  
Keyword(s):  
Emergency Department ◽  
Sickle Cell ◽  
Sickle Cell Crisis

scholarly journals Patient Controlled Analgesia for Adults with Sickle Cell Disease Awaiting Admission from the Emergency Department

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Josue Santos ◽  
Sasia Jones ◽  
Daniel Wakefield ◽  
James Grady ◽  
Biree Andemariam
Keyword(s):  
Emergency Department ◽  
Sickle Cell Disease ◽  
Sickle Cell ◽  
Treatment Algorithm ◽  
Retrospective Chart Review ◽  
Cell Disease ◽  
Patient Controlled Analgesia ◽  
Analgesic Treatment ◽  
Pain Scores ◽  
Ed Visits

Background.A treatment algorithm for sickle cell disease (SCD) pain in adults presenting to a single emergency department (ED) was developed prioritizing initiation of patient controlled analgesia (PCA) for patients awaiting hospitalization.Objectives.Evaluate the proportion of ED visits in which PCA was started in the ED.Methods.A two-year retrospective chart review of consecutive SCD pain ED visits was undertaken. Data abstracted included PCA initiation, low versus high utilizer status, pain scores, bolus opioid number, treatment times, and length of hospitalization.Results.258 visits resulted in hospitalization. PCA was initiated in 230 (89%) visits of which 157 (68%) were initiated in the ED. Time to PCA initiation was longer when PCA was begun after hospitalization versus in the ED (8.6 versus 4.5 hours,p<0.001). ED PCA initiation was associated with fewer opioid boluses following decision to admit and less time without analgesic treatment (allp<0.05). Mean pain intensity (MPI) reduction did not differ between groups. Among visits where PCA was begun in the ED, low utilizers demonstrated greater MPI reduction than high utilizers (2.8 versus 2.0,p=0.04).Conclusions.ED PCA initiation for SCD-related pain is possible and associated with more timely analgesic delivery.

Patient-Controlled Analgesia for Sickle Cell Pain Crisis in a Pediatric Emergency Department

2004 ◽  
Vol 20 (1) ◽  
pp. 2-4 ◽  
Author(s):  
Marlene D. Melzer-Lange ◽  
Christine M. Walsh-Kelly ◽  
Gwen Lea ◽  
Cheryl A. Hillery ◽  
J. Paul Scott
Keyword(s):  
Emergency Department ◽  
Sickle Cell ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Patient Controlled Analgesia ◽  
Pain Crisis

Haematology

2019 ◽  
pp. 143-150
Author(s):  
Ashis Banerjee ◽  
Anisa J. N. Jafar ◽  
Angshuman Mukherjee ◽  
Christian Solomonides ◽  
Erik Witt
Keyword(s):  
Emergency Department ◽  
Sickle Cell ◽  
Immune Thrombocytopenia ◽  
Transfusion Reaction ◽  
Short Answer ◽  
Sickle Cell Crisis ◽  
Accompanying Symptoms ◽  
Short Answer Questions ◽  
Schonlein Purpura ◽  
Emergency Doctor

This chapter on haematology contains seven clinical Short Answer Questions (SAQs) with explanations and sources for further reading. Possible disorders and accompanying symptoms of haematological origin that may present in the emergency department include Henoch–Schönlein purpura, immune thrombocytopenia, sickle cell crisis, and haemolytic transfusion reaction. It will be up to the emergency doctor to assess, diagnose, and decide upon a treatment path for each patient. The cases described in this chapter are all situations any emergency doctor is likely to encounter at some point in his or her career. The material in this chapter will greatly aid revision for the Final FRCEM examination.

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