Qualität schmerztherapeutischer Maßnahmen bei der präklinischen Versorgung akut kranker Patienten

Hofmann-Kiefer, Klaus; Praeger, K; Fiedermutz, M.; Buchfelder, A; Schwender, D.; Peter, K.

doi:10.1007/s001010050533

Cited by 24 publications

(9 citation statements)

References 19 publications

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“…Measurable reductions in pain can also be achieved by offering sympathy, and providing a competent, reassuring and solutionoriented presence (Hofmann-Kiefer et al, 1998;Stork and Hofmann-Kiefer, 2009). Adjuvant measures should be initiated early in the preclinical and pre-diagnostic settings to maximize benefit to the patient.…”

Section: Adjuvant Measuresmentioning

confidence: 99%

Treatment of acute abdominal pain in the emergency room: A systematic review of the literature

Falch

Vicente

Häberle

et al. 2014

European Journal of Pain

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Appropriate pain therapy prior to diagnosis in patients with acute abdominal pain remains controversial. Several recent studies have demonstrated that pain therapy does not negatively influence either the diagnosis or subsequent treatment of these patients; however, current practice patterns continue to favour withholding pain medication prior to diagnosis and surgical treatment decision. Populations; and (6) Ethical and Medico-legal Considerations in Current Analgesia Practices. A comprehensive algorithm for analgesia for acute abdominal pain in the general adult population was developed. A review of the literature of common aetiologies and management of acute abdominal pain in the general adult population and special patient populations seen in the emergency room revealed that intravenous administration of paracetamol, dipyrone or piritramide are currently the analgesics of choice in this clinical setting. Combinations of non-opioids and opioids should be administered in patients with moderate, severe or extreme pain, adjusting the treatment on the basis of repeated pain assessment, which improves overall pain management.

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Section: Adjuvant Measuresmentioning

confidence: 99%

Treatment of acute abdominal pain in the emergency room: A systematic review of the literature

Falch

Vicente

Häberle

et al. 2014

European Journal of Pain

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“…In Notfallsituationen herrscht ein Zustand der 7 Oligoanalgesie. Der Anteil der präklinisch analgetisch nicht behandelten Patienten liegt in verschiedenen Studien bei 46-87% [1,9,15,16,18].…”

Section: Inzidenz Von Schmerzen Bei Notfallpatientenunclassified

“…Patienten mit traumatologisch bedingten Schmerzen stellen die größte Gruppe dar (50-55%), gefolgt von Patienten mit Thoraxschmerzen (27-34%) und Patienten mit abdominellen Schmerzen (7-21%) [9,19].…”

Section: Cmeunclassified

“…Es konnte gezeigt werden, dass die Schmerzstär-ke auf einer 10-teiligen visuellen Analogskala unter medikamentöser analgetischer Therapie von 7 (Ankunft beim Patienten) auf 2-3 (Ankunft in der Notaufnahme) gesenkt werden kann. Ohne medikamentöse Therapie lag die Schmerzstärke durchgehend bei 5-6 [9] (. Abb.…”

Section: Gründe Für Eine Unzureichende Schmerztherapieunclassified

“…Trotzdem wird eine konsequente analgetische Therapie oft nicht in ausreichendem Maße durchgeführt. Wie in verschiedenen Studien gezeigt wurde, erhalten nur 12,5-54% der Patienten mit behandlungsbedürftigen Schmerzen eine adäquate Analgetikatherapie [1,9,15,16,18]. Dabei sollte die Schmerztherapie in der Notfallmedizin nicht nur aus ethischen Gesichtspunkten ein wichtiges Ziel sein -die negativen Folgen von Schmerzen sind mittlerweile sowohl für operative als auch für traumatisierte Patienten hinreichend untersucht [4].…”

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Analgesie in der Notfallmedizin

Stork

Hofmann-Kiefer²

2009

Anaesthesist

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Besides protection of vital functions, pain treatment is one of the fundamental tasks in emergency care. However, in emergency situations patients frequently do not receive any pain treatment at all or, despite high pain intensities, treatment remains insufficient. There are various reasons for inadequate prehospital analgesia: fear of side effects, underestimation of the duration of emergency care, and concern about impeding diagnostic analysis are the most frequently stated motives. Thereby one should not disregard that pain has several negative effects on the patient that should be avoided. In this article the basics of preclinical analgesia are shown and concepts presented that should help the emergency physician to accomplish adequate analgesia in an emergency situation.

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Sichere Analgesie durch Rettungsdienstpersonal

Hugentobler-Campell

Junge

2018

Zukunftswerkstatt Rettungsdienst

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Qualität schmerztherapeutischer Maßnahmen bei der präklinischen Versorgung akut kranker Patienten

Abstract: During the prehospital period of emergency care many patients suffer from severe pain. The development of patient-oriented concepts concerning pain management could contribute to improvement of pain therapy in prehospital emergency medicine.

Cited by 24 publications

References 19 publications

Treatment of acute abdominal pain in the emergency room: A systematic review of the literature

Treatment of acute abdominal pain in the emergency room: A systematic review of the literature

Analgesie in der Notfallmedizin

Sichere Analgesie durch Rettungsdienstpersonal

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