Skip Navigation LinksHome > July/September 2011 - Volume 22 - Issue 3 > Pain in Critically Ill Patients With Substance Use Disorder...
AACN Advanced Critical Care:
doi: 10.1097/NCI.0b013e318220c504
Symposium Symptom Management in Critically Ill Patients

Pain in Critically Ill Patients With Substance Use Disorder or Long-term Opioid Use for Chronic Pain

Drew, Debra J. RN-BC, MS, ACNS-BC; St. Marie, Barbara J. RN-BC, ANP, GNP

Continued Education
Collapse Box

Abstract

Opioid tolerance resulting from long-term opioid consumption for chronic pain or from substance use disorder adds a layer of complexity to managing pain in the critical care setting. This article discusses similarities and differences of these 2 conditions. The phenomenon of tolerance and opioid-induced hyperalgesia are presented. Prevention of opioid withdrawal, when patients are on methadone or buprenorphine, is described. An overview of the neurophysiology of pain and substance use disorder is presented. Practical clinical suggestions are given to assist the critical care nurse in caring for these complex patients.

© 2011 American Association of Critical–Care Nurses

Login

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.