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

      European journal of emergency medicine : official journal of the European Society for Emergency Medicine

      Abdomen, Acute, classification, drug therapy, Analgesics, Opioid, therapeutic use, Buprenorphine, Diagnostic Errors, statistics & numerical data, Humans, Morphine, Opium, Outcome and Process Assessment (Health Care), Pain Measurement, drug effects, Prospective Studies, Randomized Controlled Trials as Topic

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          Abstract

          Withholding 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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