Opinion survey of analgesia for abdominal pain in Israeli emergency departments.

摘要: Background The long-standing and ongoing controversy regarding administration of analgesia to patients with acute abdominal pain prior final diagnosis has not yet been resolved, despite considerable research. Consequently, wide variations in clinical practice exist. Objectives To determine the motives, attitudes practices emergency physicians, internists surgeons Israeli departments before pain. Methods Questionnaires were completed by 122 physicians 21 EDs throughout Israel replies analyzed. Results Most did have a clear policy on for undifferentiated pain, according 65% responders. More (75%) than (54%) (P = 0.02) more (81%) all other (60%) 0.05) held this opinion. respondents (64%) supported pre-diagnostically. Support was significantly stronger among compared (52%) 0.03). Despite support, most (68%) indicated that rarely or never given prediagnostically and, when it was, (58%) made decision. (73%) reported receive only after being examined surgeons. Time allocated ED (part full-time) influenced decision-making, 51% part-time vs. 25% full-time opposing prompt analgesia. Opinions who should decide divided medical specialty, almost opposed, as well physician age percent his/her time spent working ED. 0.0005) sometimes interfered making diagnosis. (90%) stated opiates impede some extent. However, 58% them opiates, less frequently. Intramuscular diclofenac preferred analgesic, followed intravenous morphine pethidine; individual preferences extended beyond list actually administered drugs. Conclusions There is no consensus undiagnosed Israel. Physicians' are training, experience, personal work