Is early analgesia associated with delayed treatment of appendicitis?

American Journal of Emergency Medicine

Volumn 26, Issue 2, 2008, Pages 176-180

  Frei, Steven P ^a   Bond, William F ^a   Bazuro, Robert K ^b   Richardson, David M ^a   Sierzega, Gina M ^a   Wasser, Thomas E ^a  

^a LEHIGH VALLEY HOSPITAL   (United States)

^b DANBURY HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

NONSTEROID ANTIINFLAMMATORY AGENT; OPIATE;

ADULT; ALVARADO SCORE; ANALGESIA; APPENDECTOMY; APPENDICITIS; ARTICLE; CONTROLLED STUDY; DISEASE SEVERITY; EMERGENCY WARD; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; SCORING SYSTEM; THERAPY DELAY; TREATMENT OUTCOME;

ADULT; ANALGESIA; ANALGESICS, OPIOID; ANTI-INFLAMMATORY AGENTS, NON-STEROIDAL; APPENDECTOMY; APPENDICITIS; CASE-CONTROL STUDIES; FEMALE; HUMANS; MALE; MIDDLE AGED; PAIN; RETROSPECTIVE STUDIES; TIME FACTORS;

EID: 38949182634     PISSN: 07356757     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ajem.2007.04.024     Document Type: Article

References (19)

1. Zoltie N., and Cust M.P. Analgesia in the acute abdomen. Ann R Coll Surg Engl 68 (1986) 209-210
2. Attard A.R., Corlett M.J., Kidner N.J., et al. Safety of early pain relief for acute abdominal pain. BMJ 305 (1992) 554-556
3. Pace S., and Burke T.F. Intravenous morphine for early pain relief in patients with acute abdominal pain. Acad Emerg Med 3 (1996) 1086-1092
4. LoVecchio F., Oster N., Sturmann K., et al. The use of analgesics in patients with acute abdominal pain. J Emerg Med 15 (1997) 775-779
5. Vermeulen B., Morabia A., Unger P.F., 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 210 (1999) 639-643
6. Mahadevan M., and Graff L. Prospective randomized study of analgesic use for ED patients with right lower quadrant abdominal pain. Am J Emerg Med 18 (2000) 753-756
7. Thomas S.H., Silen W., Cheema F., et al. Effects of morphine analgesia on diagnostic accuracy in emergency department patients with abdominal pain: a prospective, randomized trial. J Am Coll Surg 196 (2003) 18-31
8. Aydelotte J.D., Collen J.F., and Martin R.R. Analgesic administration prior to surgical evaluation for acute appendicitis. Curr Surg 61 (2004) 373-375
9. Chong C.F., Wang T.L., Chen C.C., et al. Preconsultation use of analgesics on adults presenting to the emergency department with acute appendicitis. Emerg Med J 21 (2004) 41-43
10. Wolfe J.M., Smithline H.A., Phipen S., et al. Does morphine change the physical examination in patients with acute appendicitis?. Am J Emerg Med 22 (2004) 280-285
11. Gallagher E.J., Esses D., Lee C., et al. Randomized clinical trial of morphine in acute abdominal pain. Ann Emerg Med 48 (2006) 150-160
12. Lee J.S., Stiell I.G., Wells G.A., et al. Adverse outcomes and opioid analgesic administration in acute abdominal pain. Acad Emerg Med 7 (2000) 980-987
13. Nagaoka I., Ishibashi Y., and Yamashita T. Studies on phytohemagglutinin-induced peritonitis of mice: dynamics of inflammatory responses and influence of anticomplementary agents and anti-inflammatory drugs. Int J Tissue React 9 3 (1987) 179-188
14. Lucas I.S., Ibelings M.S., and Bruining H.A. [NSAID use delays the diagnosis of 'acute abdomen']. Ned Tijdschr Geneeskd 142 41 (1998) 2233-2234
15. Graff L., Russell J., Seashore J., et al. False-negative and false-positive errors in abdominal pain evaluation: failure to diagnose acute appendicitis and unnecessary surgery. Acad Emerg Med 7 (2000) 1244-1255
16. Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med 15 (1986) 557-564
17. Thomas S.H., and Silen W. Effect on diagnostic efficiency of analgesia for undifferentiated abdominal pain. Br J Surg 90 (2003) 5-9
18. Silen W. Cope's early diagnosis of the acute abdomen. 21st ed. (2005), Oxford University Press, New York, NY
19. Nissman S.A., Kaplan L.J., and Mann B.D. Critically reappraising the literature-driven practice of analgesia administration for acute abdominal pain in the emergency room prior to surgical evaluation. Am J Surg 185 (2003) 291-296