Development of an opioid reduction protocol in an XXXX .

@entity1 @entity341 @entity5018 @entity6058 @entity158 @entity1118
PURPOSE: Results of a study of an opioid-sparing protocol for acute @entity158 management in the @entity341 ( @entity341 ) are reported. METHODS: The @entity341 of a large hospital conducted a project, the "Opioid-Free Shift," to test a multimodal pharmacologic approach to analgesic therapy as an alternative to routine use of opioids. During a specified eight-hour period, all adults arriving at the @entity341 with a complaint of @entity158 were treated according to an opioid-sparing protocol based on principles of channel enzyme receptor-targeted analgesia (CERTA). @entity158 severity was assessed at baseline and at 30 and 60 minutes after analgesia administration using a validated rating scale. RESULTS: Seventeen @entity1 were treated in the @entity341 for acute or @entity1118 during the study period. The median @entity158 score on the 11-point rating scale was 8 (range, 4-10) at baseline, declining to 6 (range, 0-10) at 30 minutes and to 5 (range, 1-10) at 60 minutes. At 30 minutes, 7 @entity1 (41%) had a @entity158 score reduction of >= 30% and 3 (18%) had a reduction of >= 50%. Six of the 15 @entity1 (40%) reassessed at 60 minutes had a @entity158 score reduction of >= 30%; 4 @entity1 (27%) had a reduction of >= 50%. More than 80% of @entity1 were satisfied with the @entity158 relief provided through the CERTA-based protocol, and no adverse drug reactions were reported. CONCLUSION: The 17 @entity1 treated for acute or @entity1118 during the opioid-free shift were managed mainly with i.v. @entity6058 and oral @entity5018 , with only 1 @entity1 requiring rescue opioid therapy.
