Journal article
Pain in critically ill patients with substance use disorder or long-term opioid use for chronic pain
AACN advanced critical care, Vol.22(3), pp.238-254
07/2011
DOI: 10.1097/NCI.0b013e318220c504
PMID: 21808159
Abstract
Opioid tolerance resulting from long-term opioid consumption for chronic pain or from substance use disorder adds a layer of complexity to managing pain in the critical care setting. This article discusses similarities and differences of these 2 conditions. The phenomenon of tolerance and opioid-induced hyperalgesia are presented. Prevention of opioid withdrawal, when patients are on methadone or buprenorphine, is described. An overview of the neurophysiology of pain and substance use disorder is presented. Practical clinical suggestions are given to assist the critical care nurse in caring for these complex patients.
Details
- Title: Subtitle
- Pain in critically ill patients with substance use disorder or long-term opioid use for chronic pain
- Creators
- Debra J Drew - University of Minnesota Medical Center, Fairview, Minneapolis, MN 55455, USA. ddrew1@fairview.orgBarbara J St Marie
- Resource Type
- Journal article
- Publication Details
- AACN advanced critical care, Vol.22(3), pp.238-254
- DOI
- 10.1097/NCI.0b013e318220c504
- PMID
- 21808159
- NLM abbreviation
- AACN Adv Crit Care
- ISSN
- 1559-7768
- eISSN
- 1559-7776
- Publisher
- United States
- Language
- English
- Date published
- 07/2011
- Academic Unit
- Addiction Medicine; Nursing; Injury Prevention Research Center
- Record Identifier
- 9984064291702771
Metrics
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