Service Evaluation of Methoxyflurane Versus Standard Care for Overall Management of Patients with Pain Due to Injury
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BRIEF REPORT
Service Evaluation of Methoxyflurane Versus Standard Care for Overall Management of Patients with Pain Due to Injury Louise Young . George P. Bailey . Jayne A. C. McKinlay
Received: January 17, 2020 Ó The Author(s) 2020
ABSTRACT Introduction: Inhaled methoxyflurane is an analgesic used for the emergency relief of moderate to severe pain in conscious adult patients with trauma and associated pain that is increasingly being used in hospital emergency departments to provide rapid analgesia. It is widely accepted that effective pain relief can facilitate patient care and flow through the emergency department (ED). The main aim of this evaluation was to assess the impact of inhaled methoxyflurane on patient length of stay (LOS) in the ED compared with standard care. Enhanced Digital Features To view digital features for this article go to https://doi.org/10.6084/m9.figshare. 11961675. L. Young (&) Division of Medicine, NET Research Team, Neurosurgery, Emergencies and NeuroTrauma, St Mary’s Hospital, Imperial College Healthcare NHS Trust, Praed St, London W2 1NY, UK e-mail: [email protected] G. P. Bailey Emergency Department, St Mary’s Hospital, Imperial College Healthcare NHS Trust, Praed St, London W2 1NY, UK J. A. C. McKinlay Emergency Department, Southmead Hospital, North Bristol NHS Trust, Southmead Road, Bristol BS10 5NB, UK
Methods: Adult patients with moderate to severe trauma pain and Glasgow coma score of 15 were included in the evaluation. Evaluation forms were completed for 79 patients who received methoxyflurane and were matched with 80 patients who received standard care. Results: Overall the mean time spent in the ED was reduced by 71 min in those patients who were administered methoxyflurane compared with patients who received standard care. Furthermore, analysis of LOS by injury type demonstrated a reduction in ED LOS by 183 min for patients with shoulder dislocation who were treated with methoxyflurane compared with patients who received standard care. There was no reduction in ED LOS for patients with lower limb, hip or pelvic injuries between the two treatment groups. Conclusion: Use of methoxyflurane in adult patients with trauma pain significantly reduced the ED LOS and may potentially improve patient flow through the ED. Keywords: Acute pain; Analgesic; Emergency Department; Inhaled analgesic; Methoxyflurane; Pain; Penthrox; Trauma
Adv Ther
Key Summary Points Why carry out this study? The service evaluation was completed because there has been limited reviews of the impact of methoxyflurane in the emergency department (ED). This was a prospective, observational, cohort-defined service evaluation, with data collected over 6 months, which was compared with retrospective data from the same period the previous year. What was learned from the study? Length of stay (LOS) in the emergency department varied according to injury type and the treatment administered. A sub-group analysis based on injury type demonstrated a significant reduction in ED LOS for patients with shoulder disl
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