Effects of morphine analgesia on diagnostic accuracy in Emergency Department patients with abdominal pain: A prospective, randomized trial

Journal of the American College of Surgeons

Volumn 196, Issue 1, 2003, Pages 18-31

  Thomas, Stephen H ^a   Silen, William ^a   Cheema, Farah ^a   Reisner, Andrew ^a   Aman, Sohail ^a   Goldstein, Joshua N ^a   Kumar, Alan M ^a   Stair, Thomas O ^a  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

MORPHINE SULFATE; PLACEBO;

ABDOMINAL PAIN; ADULT; ANALGESIA; ARTICLE; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; DISEASE SEVERITY; DOUBLE BLIND PROCEDURE; EMERGENCY WARD; FEMALE; HUMAN; MALE; MASKING; MEDICAL DECISION MAKING; PERITONITIS; PHYSICAL EXAMINATION; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; TREATMENT PLANNING;

EID: 0037229606     PISSN: 10727515     EISSN: None     Source Type: Journal    
DOI: 10.1016/S1072-7515(02)01480-1     Document Type: Article

References (28)

1. Cope Z. The early diagnosis of the acute abdomen. New York: Oxford University Press; 1921.
2. Tait IS, Ionescu MV, Cushieri A. Do patients with acute abdominal pain wait unduly long for analgesia? J R Coll Surg Edinb 1999;44:181-184.
3. Graber MA, Ely JW, Clarke S, et al. Informed consent and general surgeons' attitudes toward the use of pain medication in the acute abdomen. Am J Emerg Med 1999;17:113-116.
4. LoVecchio F, Oster N, Sturmann K, et al. The use of analgesics in patients with acute abdominal pain. J Emerg Med 1997;15:775-779.
5. Pace S, Burke TF. Intravenous morphine for early pain relief in patients with acute abdominal pain. Acad Emerg Med 1996;3:1086-1092.
6. Attard AR, Corlett MJ, Kidner NJ, et al. Safety of early pain relief for acute abdominal pain. Br Med J 1992;305:554-556.
7. Mackway-Jones K, Harrison M. Towards evidence based emergency medicine: Analgesia and assessment of abdominal pain. J Accid Emerg Med 2000;17:128-129.
8. Vermeulen B, Morabia A, Unger PF, et al. Acute appendicitis: Influence of early pain relief on the accuracy of clinical and US findings in the decision to operate - a randomized trial. Radiology 1999;210:639-643.
9. Brewster GS, Herbert ME, Hoffman JR. Medical myth: Analgesia should not be given to patients with an acute abdomen because it obscures the diagnosis. West J Med 2000;172:209-210.
10. Paris PM. No pain, no pain. Am J Emerg Med 1989;7:660-661.
11. Editorial. Analgesia and the acute abdomen. Br Med J 1979;2:1093.
12. Yealy DM, O'Toole KS. Challenging dogma - analgesia in acute abdominal pain. Acad Emerg Med 1996;3:1081-1082.
13. Silen W. Cope's early diagnosis of the acute abdomen. 20th ed. New York: Oxford University Press; 2000.
14. Lee JS, Stiell IG, Wells GA, et al. Adverse outcomes and opioid analgesic administration in acute abdominal pain. Acad Emerg Med 2000;7:980-987.
15. Zoltie N, Cust MP. Analgesia in the acute abdomen. Ann R Coll Surg 1986;68:209-210.
16. Thomas SH, Borczuk P, Shackelford J, et al. Patient and physician agreement on abdominal pain severity and need for opioid analgesia. Am J Emerg Med 1999;17:586-590.
17. Todd KH. Clinical versus statistical significance in the assessment of pain relief. Ann Emerg Med 1996;27:439-441.
18. Menegazzi J. Measuring pain at baseline and over time. Ann Emerg Med 1996;27:433-435.
19. Ho K, Spence J, Murphy MF. Review of pain-measurement scales. Ann Emerg Med 1996;27:427-432.
20. Todd KH. Patient-oriented outcome measures: The promise of definition. Ann Emerg Med 2001;38:672-674.
21. Hughes TJ. Opiates in acute abdominal pain (letter). Br Med J 1979;2:1145.
22. American College of Emergency Physicians. Clinical policy: Critical issues for the initial evaluation and management of patients presenting with a chief complaint of nontraumatic acute abdominal pain. Ann Emerg Med 2000;36:406-415.
23. Evidence Report/Technology Assessment No. 43. Making health care safer: A critical analysis of patient safety practices. AHRQ Publication 01-E058; 396-400. Rockville, MD: Agency for Healthcare Research and Quality; 2001.
24. Wolfe JM, Lien D, Lenkoski C, Smithline HA. Analgesic administration to patients with acute abdomens: A survey of Emergency Physicians [abstract]. Acad Emerg Med 1998;5:528.
25. Burdick WP. Abdominal pain. In: Burdick WP, Cone DC, Cydulka RK, et al, eds. Yearbook of emergency medicine. St. Louis, MO: Mosby, Inc; 2002;36:151-170.
26. Kim MK, Strait RT, Sato TT, Hennes HM. A randomized clinical trial of analgesia in children with acute abdominal pain. Acad Emerg Med 2002;9:281-287.
27. Stanniland JR, Ditchburn J, de Dombal FT. Clinical presentation of acute abdomen: Study of 600 patients. Br Med J 1972;3:393-398.
28. Mahadevan M, Graff L. Prospective randomized study of analgesic use for ED patients with right lower quadrant pain. Am J Emerg Med 2000;18:753-756.