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- W2187298617 abstract "Inpatient pain management is a necessary skill set for all physicians, but it is particularly important for hospitalists working in the inpatient setting. Pain is so pervasive in the hospital setting that it is sometimes referred to as “the fifth vital sign,” and a failure to manage pain has important implications not only for hospitalists, but also for the hospitals where they practice. Hospitalists play a critical role not only in comanaging postoperative patients, but they also manage a wide range of conditions in which pain is prevalent, from pancreatitis to small bowel obstructions to sickle-cell disease. While opioid monotherapy has long been the primary approach to pain management in the inpatient setting, the medical literature has documented numerous significant negative effects of opiate and analgesic use in hospital-based practice. These negative effects include opioid addiction, gastrointestinal issues such as nausea and vomiting, constipation and ileus, and serious complications such as respiratory depression and sedation, which increase the risk of respiratory failure, aspiration, decreased mobility, and falls. 1 Research also indicates that current pain management strategies often fail to adequately control patient pain. One study found that more than 80% of U.S. patients who have surgery report significant postoperative pain. 2 Data from another study indicate that fewer than half of postoperative patients" @default.
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- W2187298617 date "2013-01-01" @default.
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- W2187298617 title "IV Acetaminophen: The Hospitalist's Perspective" @default.
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