Methoxyflurane in Non-Life-Threatening Traumatic Pain—A Retrospective Observational Study
Pain management is a key issue in prehospital trauma. In Switzerland, paramedics have a large panel of analgesic options. Methoxyflurane was recently introduced into Switzerland, and the goal of this study was to describe both the effect of this medication and the satisfaction of its use. This was a...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-10-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/9/10/1360 |
| _version_ | 1797514478495989760 |
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| author | Florian Ozainne Philippe Cottet Carlos Lojo Rial Stephan von Düring Christophe A. Fehlmann |
| author_facet | Florian Ozainne Philippe Cottet Carlos Lojo Rial Stephan von Düring Christophe A. Fehlmann |
| author_sort | Florian Ozainne |
| collection | DOAJ |
| description | Pain management is a key issue in prehospital trauma. In Switzerland, paramedics have a large panel of analgesic options. Methoxyflurane was recently introduced into Switzerland, and the goal of this study was to describe both the effect of this medication and the satisfaction of its use. This was a retrospective cohort study, performed in one emergency ambulance service. It included adult patients with traumatic pain and a self-assessment of 3 or more on the visual analogue scale or verbal numerical rating scale. The primary outcome was the reduction in pain between the start of the care and the arrival at the hospital. Secondary outcomes included successful analgesia and staff satisfaction. From December 2018 to 4 June to October 2020, 263 patients were included in the study. Most patients had a low prehospital severity score. The median pain at arrival on site was 8 and the overall decrease in pain observed was 4.2 (95% CI 3.9–4.5). Regarding secondary outcomes, almost 60% had a successful analgesia, and over 70% of paramedics felt satisfied. This study shows a reduction in pain, following methoxyflurane, similar to outcomes in other countries, as well as the attainment of a satisfactory level of pain reduction, according to paramedics, with the advantage of including patients in their own care. |
| first_indexed | 2024-03-10T06:32:12Z |
| format | Article |
| id | doaj.art-dc5860168e55474293c2f25784eed2d6 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T06:32:12Z |
| publishDate | 2021-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-dc5860168e55474293c2f25784eed2d62023-11-22T18:25:52ZengMDPI AGHealthcare2227-90322021-10-01910136010.3390/healthcare9101360Methoxyflurane in Non-Life-Threatening Traumatic Pain—A Retrospective Observational StudyFlorian Ozainne0Philippe Cottet1Carlos Lojo Rial2Stephan von Düring3Christophe A. Fehlmann4A.C.E. Genève Ambulances SA, 1225 Geneva, SwitzerlandA.C.E. Genève Ambulances SA, 1225 Geneva, SwitzerlandEmergency Department, Guy’s and St. Thomas’ NHS Foundation Trust, London SE1 9RS, UKA.C.E. Genève Ambulances SA, 1225 Geneva, SwitzerlandA.C.E. Genève Ambulances SA, 1225 Geneva, SwitzerlandPain management is a key issue in prehospital trauma. In Switzerland, paramedics have a large panel of analgesic options. Methoxyflurane was recently introduced into Switzerland, and the goal of this study was to describe both the effect of this medication and the satisfaction of its use. This was a retrospective cohort study, performed in one emergency ambulance service. It included adult patients with traumatic pain and a self-assessment of 3 or more on the visual analogue scale or verbal numerical rating scale. The primary outcome was the reduction in pain between the start of the care and the arrival at the hospital. Secondary outcomes included successful analgesia and staff satisfaction. From December 2018 to 4 June to October 2020, 263 patients were included in the study. Most patients had a low prehospital severity score. The median pain at arrival on site was 8 and the overall decrease in pain observed was 4.2 (95% CI 3.9–4.5). Regarding secondary outcomes, almost 60% had a successful analgesia, and over 70% of paramedics felt satisfied. This study shows a reduction in pain, following methoxyflurane, similar to outcomes in other countries, as well as the attainment of a satisfactory level of pain reduction, according to paramedics, with the advantage of including patients in their own care.https://www.mdpi.com/2227-9032/9/10/1360analgesiaprehospitaltraumaticmethoxyfluranepain |
| spellingShingle | Florian Ozainne Philippe Cottet Carlos Lojo Rial Stephan von Düring Christophe A. Fehlmann Methoxyflurane in Non-Life-Threatening Traumatic Pain—A Retrospective Observational Study Healthcare analgesia prehospital traumatic methoxyflurane pain |
| title | Methoxyflurane in Non-Life-Threatening Traumatic Pain—A Retrospective Observational Study |
| title_full | Methoxyflurane in Non-Life-Threatening Traumatic Pain—A Retrospective Observational Study |
| title_fullStr | Methoxyflurane in Non-Life-Threatening Traumatic Pain—A Retrospective Observational Study |
| title_full_unstemmed | Methoxyflurane in Non-Life-Threatening Traumatic Pain—A Retrospective Observational Study |
| title_short | Methoxyflurane in Non-Life-Threatening Traumatic Pain—A Retrospective Observational Study |
| title_sort | methoxyflurane in non life threatening traumatic pain a retrospective observational study |
| topic | analgesia prehospital traumatic methoxyflurane pain |
| url | https://www.mdpi.com/2227-9032/9/10/1360 |
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