Document Detail

Ethics of treating postoperative pain.
MedLine Citation:
PMID:  22264808     Owner:  NLM     Status:  MEDLINE    
You received a call advising that Mr S. H. Irk was in the emergency room having considerable wound pain following an above-knee amputation you performed 6 months ago. You discharged him from your clinic 6 weeks postoperatively to his primary care physician, still complaining of more pain than usual. Your examination, clinical lab tests, and X-rays do not reveal any serious problems, but he is writhing in pain and begging for relief. Mr Irk has been to a number of different physicians in the interlude including a chiropractor, a pain specialist, several primary care physicians, and a psychiatrist without relief. He has braced up with increasing amounts of analgesics, the latest of which was oral Dilaudid. His last source of pain meds on the street has dried up. You admit him with orders for analgesics. What should your treatment plan be?
James W Jones; Laurence B McCullough
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Publication Detail:
Type:  Editorial    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  55     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-01-23     Completed Date:  2012-03-12     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  583-4     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX, USA.
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MeSH Terms
Amputation / adverse effects*
Analgesia / adverse effects*,  ethics*
Analgesics, Opioid / adverse effects*
Attitude of Health Personnel
Drug-Seeking Behavior*
Opioid-Related Disorders / diagnosis,  etiology*,  psychology,  rehabilitation
Pain Measurement
Pain, Postoperative / diagnosis,  drug therapy*,  etiology
Referral and Consultation
Reg. No./Substance:
0/Analgesics, Opioid

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