1

SO CRAZY IT JUST

MIGHT WORK:NEW ED PAIN MANAGEMENT

STRATEGIESSergey M. Motov, MD@painfreeED

2

0.2 mg/kg, 10mg10-20 mgTitration q10 min (3 doses)

Fulda 2005, Bounes 2009, Grissa 2015

3

10mg (3) 20mg (3) 2mg q 5 min

20mg (3)

Adults: 4 μg/kgChildren: 2-4 μg/kgTitration q10 min (3 doses)

Miner 2007, Furyk 2009, Farahmand 2014, Deaton 2015

4

5

0.25 μg/kg/h

Kjellberg 2001, Monitto 2011, Benson 2015

6

7

0.3 mg/kgGoltser 2015, Motov 2017

100 mlRezaie, Motov 2018

0.1-0.2 mg/kgMotov 2018

100 ml

100 mgGurnani 1996

0.15 mg/kg/hr

100 ml

8

Bouwense 2015, Juel 2015

Zempsky , Meals 2011

Nama 2010

Mercadante 2018

9

10

Kunhabdulla 2014, Durant 2017, Lippert 2013, Herring 2016

11

12

Webster 2010, Herring 2012, Kessler 2018

Doluoglu 2015

13

Mitchell 2016

Mitchell et al, 2016

14