Evidence map›Paper›PMID 32612382›Full record

ArticleJournal of pain research2020

Role of Inhaled Methoxyflurane in the Management of Acute Trauma Pain.

Andrea Fabbri, Germana Ruggiano, Sergio Garcia Collado, Agnes Ricard-Hibon, Umberto Restelli, Giovanni Sbrana, Franco Marinangeli, Alberto Farina, Frank Coffey

Open access · goldAbstract read
In one paragraph

Article in Journal of pain research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. The effectiveness and safety of paediatric prehospital pain management: a systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Commonly used agent for acute pain management of sickle cell anemia in Saudi Emergency Department: A narrative review.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 4 countries.

Andrea FabbriDepartment of Emergency Medicine, Morgagni-Pierantoni Hospital, Forlì, Italy.ORCID 0000-0002-9837-4638
Germana RuggianoEmergency Medicine Department, Santa Maria Annunziata Hospital, Florence, Italy.
Sergio Garcia ColladoHospital Recoletas Campo Grande, Valladolid, Spain.
Agnes Ricard-HibonService SAMU-SMUR-SAU, GHT Nord Ouest Vexin Val d'Oise, Pontoise 95, France.
Umberto RestelliCenter for Health Economics, Social and Health Care Management, LIUC - Università Cattaneo, Castellanza, VA, Italy.ORCID 0000-0001-6831-3044
Giovanni SbranaAnaesthesia, Intensive Care, Emergency Medicine, Grosseto HEMS, ASL Toscana Sud Est, Grosseto, Italy.ORCID 0000-0002-6143-1387
Franco MarinangeliDepartment of Anesthesiology and Intensive Care, University of L'Aquila, L'Aquila, Italy.ORCID 0000-0002-4931-7717
Alberto FarinaMedical Affairs Department, Mundipharma Pharmaceuticals Srl, Milan, Italy.ORCID 0000-0003-1896-1179
Frank CoffeyDREEAM - Department of Research and Education in Emergency Medicine Acute Medicine and Major Trauma, Nottingham University Hospitals' NHS Trust, Nottingham, UK.ORCID 0000-0002-2096-6895
Hospital Recoletas Campo Grande · ESNottingham University Hospitals NHS Trust · GBOspedale G.B. Morgagni - L.Pierantoni · ITOspedale Misericordia - Grosseto · ITOspedale Santa Maria Annunziata · ITUniversity of L'Aquila · ITUniversity of the Witwatersrand · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adequate treatment of trauma pain is an integral part of the management of trauma patients, not just for ethical reasons but also because undertreated pain can lead to increased morbidities and worse long-term outcomes. Trauma pain management presents challenges in the pre-hospital setting, particularly in adverse or hostile environments as well as in busy emergency departments (EDs). Inhaled methoxyflurane, administered at analgesic doses via a disposable inhaler, has recently become available in Europe for the emergency treatment of moderate to severe pain in conscious adult trauma patients. A growing body of evidence demonstrates that inhaled methoxyflurane is well tolerated and effective in providing a rapid onset of analgesia. In this paper, we discuss the rationale for methoxyflurane use in trauma pain management, data from clinical trials recently conducted in Europe, its efficacy and safety profile compared to current standard treatments, its place in therapy and organizational impact. We conclude that inhaled methoxyflurane represents an effective treatment option in the different settings where trauma patients require rapid and flexible pain resolution, with potential organizational advantages.

Indexed as

analgesiaemergencynon-opioid pain managementpre-hospital

Identifiers

PMID32612382
PMCPMC7323816
OpenAlexW3037926825

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.