Re: intubation sedation and analgesia

[jim.kendrick@att.net]

Brent,

As a program we also treat pain as needed. I think that 
Pt.'s pain is becoming more an issue. ie Joint 
Commission's position on pain, local analgesia prior to 
IV starts. Actually the are EMS systems tx pain with 
Toradol etc also for long bone fx. pain is just that.

Jim Kendrick
> Question for the group. I recently attended a conference and spoke to a flight 
> RN from another program regarding sedation and analgesia for intubated and non 
> intubated patients. I was very surprised to learn that in her program they are 
> not allowed to give analgesia to their intubated patients just sedation. The 
> scenario she gave me was a MVC large amount of trauma -head face chest. RSI 
> intubation and on the flight home with stable vitals no pain meds. They also 
> don't give pain meds to unintubated  trauma patients. I was wondering where the 
> rest of you stand on this with your programs. I asked if she would mind if I 
> listed this post and she was OK with it as long as no names were involved. We 
> routinely give pain meds to anybody in pain regardless of the disease at hand. I 
> do realize the trauma team likes a good neuro assessment but pain is pain. Also 
> I checked with numerous anesthesia practitioners who all stated that they give 
> narcotics as well as sedation to any intubated patient. 
> 
>                                                        Thanks for your time
>                                                        Brent
> 

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