Abstract: A controversy exists among health care providers on the choices of safe and successful drugs for pregnant women as painkillers. Also the choice of safe and successful drugs in general pain management in pre-hospital settings.
I searched on the Wiley Online Library, the Science Direct Database, the Pro Quest Database, Springer Link, Expanded Academic ASAP, and the ECU Library Database (from Jan 2006 to Sep 2014) to identify all relevant randomised controlled trials of pain management during pregnancy and general pain management in pre-hospital settings. Critically appraise four different articles on the safety of intravenous fentanyl for hospital pain management in pregnant patients and inhaled methoxyflurane for general pain management in pre-hospital settings.
There was an obvious shortage of studies on intranasal fentanyl for pre-hospital pain management in pregnant patients; it also has been noticed that they are limited of latest studies on inhaled methoxyflurane as pain management in pregnant women. Based on the literature, using IV fentanyl as a pain relief during labour in nulliparous and multi-pregnancy women has been proven to be safe and effective for both the women and neonates. Based on the findings, methoxyflurane was the most common opioid analgesia agent used by paramedics. Overall, methoxyflurane appear to be safe drug as pain management in pre-hospital setting for all group of age.
Acceding to the literature, IV fentanyl, as a analgesia in nulliparous and multi-pregnancy women during labour has been proven to be safe and effective for both the women and neonates. Finally, methoxyflurane has been proven to be to be a safe drug for pain management in pre-hospital settings for all age groups.
Keywords: intravenous fentanyl, pain management, pregnant patients, inhaled methoxyflurane, pre-hospital pain management.
Title: The Safety of Intravenous Fentanyl for Hospital Pain Management in Pregnant Patients and Inhaled Methoxyflurane for General Pain Management in Pre-Hospital Settings
Author: Rayan Jafnan Alharbi
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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