Keywords
Cuidados paliativos
Analgésicos opioides
Seguridad del paciente Pain management
Palliative care
Analgesics
Opioid
Patient safety
How to Cite
Abstract
Currently, opioid analgesics are the first line of treatment for severe pain management in postoperative and oncologic patients. Nevertheless, due to several side effects are consider as high risk drugs. For this, it is important to implement protocols and algorithms for its rational use, focused on improving safety in prescription, dispensing, administration, vigilance and follow-up of these analgesics. All professionals in hospital environment, specially physicians and nurses, must possess the knowledge for ideal management of opioid analgesics and its possible side effects, to improve patient safety in accordance with pain free hospital institutional policy. This protocol is directed to treated patients at Clínica Universitaria Colombia, that are hospitalized or in ambulatory care, with acute or chronic pain, from oncologic and non-oncologic etiology that need strong opioids for symptomatic control. Pharmacological management it is adjusted to this institution characteristics considering resources availability and following the guidelines of pain and palliative care program.
References
Joint Commission International. Estándares para la acreditación de hospitales de la Joint Commission International. Cuarta Edición. 2011. [Internet]. España. [acceso 10 de enero de 2017] Disponible en: http://www.osakidetza.euskadi.eus/contenidos/informacion/seguridad_paciente/eu_def/adjuntos/2_Doc_referencia/JCI%204a%20Edicion%20EstandaresHospitales2011.pdf
Ministerio de la Protección Social. Resolución 1478 de 2006. [Internet]. Colombia. [acceso 15 de enero de 2017] Disponible en: https://www. invima.gov.co/images/pdf/medicamentos/resoluciones/resolucion%20001478%20de%202006.pdf
Sociedad Española de Cuidados Paliativos. Guía de Cuidados Paliativos. [Internet] España; [acceso 18 de enero de 2017] Disponible en http:// www.secpal.com//Documentos/Paginas/guiacp.pdf
Opioids in palliative care: safe and effective prescribing of strong opioids for pain in palliative care of adults. NICE Clinical Guideline 2012. [Internet]. Reino Unido; [acceso 18 de enero de 2017] Disponible en: https://www.guideline.gov/summaries/summary/36924/opioids-inpalliative-care-safe-and-effective-prescribing-of-strong-opioids-for-pain-in-palliative-care-of-adults
Osakidetza. Opioides en el tratamiento del dolor crónico no oncológico. INFAC. 2008;16(10):51-6.
Snyder B. Revisiting old friends: update on opioid pharmacology. Aust Prescr. 2014;37(2):56-60. https://doi.org/10.18773/austprescr.2014.021
Nuckols TK,Anderson L, Popescu I, et al. Opioid prescribing: A systematic review and critical appraisal of guidelines for chronic pain. Ann Intern Med. 2014;160(1):38-47. https://doi.org/10.7326/0003-4819-160-1-201401070-00732
Etches RC. Patient-controlled analgesia. Surg Clin North Am. 1999;79(2):297-312. https://doi.org/10.1016/S0039-6109(05)70384-4
Scheetz A, Ackermann RJ. Care of Patients at the End of Life: Pharmacotherapeutic Management of Pain. FP Essent. 2016;447:11-7.