Evidence map›Paper›PMID 37893464›Full record

ReviewMedicina (Kaunas, Lithuania)2023

Effectiveness of Intranasal Analgesia in the Emergency Department.

Christian Zanza, Francesco Saglietti, Jacopo Davide Giamello, Gabriele Savioli, Davide Maria Biancone, Mario Giosuè Balzanelli, Benedetta Giordano, Anna Chiara Trompeo, Yaroslava Longhitano

Open access · goldAbstract readReview
In one paragraph

Review in Medicina (Kaunas, Lithuania), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
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 6 institutions in 2 countries.

Christian ZanzaItalian Society of Prehospital Emergency Medicine-SIS 118-Taranto, 74121 Taranto, Italy.
Francesco SagliettiDepartment of Anesthesia and Critical Care, Santa Croce and Carle Hospital, 12100 Cuneo, Italy.ORCID 0000-0002-8767-6577
Jacopo Davide GiamelloEmergency Department, Santa Croce and Carle Hospital, 12100 Cuneo, Italy.ORCID 0000-0002-5085-3074
Gabriele SavioliEmergency Medicine and Surgery, IRCCS Fondazione Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0000-0002-8679-5435
Davide Maria BianconeDepartment of Sensory Organs, Sapienza University of Rome, 00185 Roma, Italy.
Mario Giosuè BalzanelliItalian Society of Prehospital Emergency Medicine-SIS 118-Taranto, 74121 Taranto, Italy.
Benedetta GiordanoDepartment of Human Neuroscience, Sapienza University of Rome, 00185 Roma, Italy.
Anna Chiara TrompeoDepartment of Anesthesia and Critical Care, AOU Città della Scienza e della Salute, 10126 Torino, Italy.
Yaroslava LonghitanoDepartment of Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA 15260, USA.ORCID 0000-0001-8831-1361
Sapienza University of Rome · ITAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITCTO Hospital · ITHumanitas University · ITPoliclinico San Matteo Fondazione · ITUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the Emergency Department (ED), pain is one of the symptoms that are most frequently reported, making it one of the most significant issues for the emergency physician, but it is frequently under-treated. Intravenous (IV), oral (PO), and intramuscular (IM) delivery are the standard methods for administering acute pain relief. Firstly, we compared the safety and efficacy of IN analgesia to other conventional routes of analgesia to assess if IN analgesia may be an alternative for the management of acute pain in ED. Secondly, we analyzed the incidence and severity of adverse events (AEs) and rescue analgesia required. We performed a narrative review-based keywords in Pubmed/Medline, Scopus, EMBASE, the Cochrane Library, and Controlled Trials Register, finding only twenty randomized Clinical trials eligible in the timeline 1992-2022. A total of 2098 patients were analyzed and compared to intravenous analgesia, showing no statistical difference in adverse effects. In addition, intranasal analgesia also has a rapid onset and quick absorption. Fentanyl and ketamine are two intranasal drugs that appear promising and may be taken simply and safely while providing effective pain relief. Intravenous is simple to administer, non-invasive, rapid onset, and quick absorption; it might be a viable choice in a variety of situations to reduce patient suffering or delays in pain management.

Indexed as

Acute PainAnalgesiaAnalgesics, OpioidEmergency Service, HospitalHumansPain ManagementAnalgesics, Opioidacute pain managementanalgesicsemergency departmentfentanylintranasal administrationketamineketorolacmigrainensaidpainparacetamolprimary headache disorder

Identifiers

PMID37893464
PMCPMC10608673
OpenAlexW4387187110

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.