Intravenous Induction Agents: Opioids

Opioids as co-induction agents - the pros and cons

The Pharmacology Of Intravenous Anesthetic Induction Agents: A Primer

their optimal clinical utilization. History and Principles Whereas inhaled anesthetics are useful for the induction of anesthesia, particularly in the absence of IV access as occurs commonly in pediatric anesthesia, IV anesthetics have become the primary agents for the induction of general anesthesia. The development of IV anesthetics followed the late 19th-century introduction of hollow needle...

Intravenous opioids for severe acute pain in the emergency department.

OBJECTIVE To review clinical trials of intravenous opioids for severe acute pain in the emergency department (ED) and to provide an approach for optimization of therapy. DATA SOURCES Articles were identified through a search of Ovid/MEDLINE (1948-August 2010), PubMed (1950-August 2010), Cochrane Central Register of Controlled Trials (1991-August 2010), and Google Scholar (1900-August 2010). T...

The Changing Use of Intravenous Opioids in an Emergency Department

INTRODUCTION Government agencies are increasingly emphasizing opioid safety in hospitals. In 2012, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) started a sentinel event program, the "Safe Use of Opioids in Hospitals." We sought to determine if opioid use patterns in our emergency department (ED) changed from 2011, before the program began, to 2013, after start of th...

Titrated intravenous opioids from the same syringe: an infection risk?

OBJECTIVE (1) To compare the rate of contamination of syringes prepared under laminar flow conditions in pharmacy with those prepared by nurses in the emergency department; (2) to determine whether the time elapsed since preparation or number of doses given affected the contamination rate; (3) to determine whether any adverse effects resulted from bacterially contaminated drugs. METHODS Prosp...