American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists
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A novel strategy for management of acute pain associated with sickle cell disease (SCD), referred to as the oral tier approach, is described. ⋯ Healthcare providers can use the oral tier approach to facilitate rapid inpatient conversion from i.v. PCA to oral opioids while providing adequate pain control in patients with SCD who develop VOC.