• Eur J Emerg Med · Jun 2001

    Meta Analysis

    Narcotic analgesia in the acute abdomen--a review of prospective trials.

    • P M McHale and F LoVecchio.
    • Maricopa Medical Center, Department of Emergency Medicine, Phoenix, AZ 85008, USA.
    • Eur J Emerg Med. 2001 Jun 1;8(2):131-6.

    AbstractWithholding administration of narcotic analgesia in patients with acute abdominal pain for fear of masking pathology is still pervasive in current medical practice. We reviewed all the prospective trials that investigated the safety, adverse affects, and ultimate outcome in patients with acute abdominal pain receiving narcotic analgesia within the emergency department (ED). No adverse outcomes or delays in diagnosis could be attributed to the administration of analgesia. Based on this research, we propose that it is safe and humane to administer narcotic pain relief to patients presenting to the ED with acute abdominal pain provided no contraindications exist.

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