MBE: AINE IM vs VO: diferència entre les revisions

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'''Comparing analgesic efficacy of non-steroidal anti-inflammatory drugs given by different routes in acute and chronic pain: a qualitative systematic review'''. DARE. 1998. [http://www.crd.york.ac.uk/CRDWeb/ShowRecord.asp?View=Full&ID=11998000293 link].
'''Comparing analgesic efficacy of non-steroidal anti-inflammatory drugs given by different routes in acute and chronic pain: a qualitative systematic review'''. DARE. 1998. [http://www.crd.york.ac.uk/CRDWeb/ShowRecord.asp?View=Full&ID=11998000293 link].
  In renal colic there was evidence that NSAIDs act quickest when given intravenously.
  In all other pain conditions there was a lack of evidence of any difference between administration routes.
  In pain conditions other than renal colic, there is, therefore,
  a strong argument to give oral NSAIDs when patients can swallow <cite>TD5</cite>.


=Bibliografia=
=Bibliografia=

Revisió del 16:20, 7 abr 2009


La pregunta

La via intramuscular és millor que la via oral a l'hora de tractar un dolor agut?

Com formular la pregunta

  • P-> Problema: dolor agut
  • I-> Intervenció: AINE VO
  • C-> Control: AINE IM
  • O-> Output (Resultat): millora del dolor subjectiva (EVA)

Cerca

Clinical Evidence

TripDatabase

TripDatabase en Español

dolor AINE intramuscular oral

GPC. Manejo del dolor agudo en atención primaria. Guíasalud - 2007. (Unidad del dolor – Hospital Xeral - Calde – Lugo) 

 En cuanto a la vía de administración de los AINE, la revisión Cochrane [1] sugiere que
 no hay evidencia para recomendar otra vía que no sea la oral en la lumbalgia aguda.

TripDatabase

pain NSAID intramuscular oral

Acute pain management in older adults. National Guideline Clearinghouse (USA). 2006. 

 Avoid intramuscular (IM) administration in older adults. 
 Because of muscle wasting and less fatty tissue in older as compared to younger adults, 
 intramuscular absorption of analgesics in older adults is slowed 
 and may result in delayed/prolonged effect of IM injections, 
 altered analgesic serum levels and possible toxicity with repeated injections [2, 3, 4, 5]. 
 Evidence Grade = B

Comparing analgesic efficacy of non-steroidal anti-inflammatory drugs given by different routes in acute and chronic pain: a qualitative systematic review. DARE. 1998. link. 

 In renal colic there was evidence that NSAIDs act quickest when given intravenously. 
 In all other pain conditions there was a lack of evidence of any difference between administration routes. 
 In pain conditions other than renal colic, there is, therefore, 
 a strong argument to give oral NSAIDs when patients can swallow [6].

Bibliografia

Error fetching PMID 10796356:
Error fetching PMID 7367036:
Error fetching PMID 7598519:
Error fetching PMID 1975490:
Error fetching PMID 8997460:
  1. Error fetching PMID 10796356: [EC1]
  2. Error fetching PMID 7367036: [TD1]
  3. Error fetching PMID 7598519: [TD2]
  4. Error fetching PMID 1975490: [TD3]
  5. Error fetching PMID 8997460: [TD4]

Totes los resumits de Medline : PubMed | HubMed

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