Publications by authors named "Joanne Challands"
Article Synopsis
- The management of acute pain in sickle cell disease is currently inadequate, prompting the development of a standardized oral analgesia protocol.
- A study was conducted to determine the maximal tolerated dose of sublingual fentanyl combined with oral oxycodone for patients based on their weight.
- The preliminary results showed a significant reduction in pain scores without severe side effects, suggesting the protocol may be beneficial for acute care and supervised home management of pain crises.
Management of the acute painful crisis (APC) of sickle cell disease (SCD) remains unsatisfactory despite advances in the understanding and management of acute pain in other clinical settings. One reason for this is an unsophisticated approach to the use of opioid analgesics for pain management. This applies to haematologists who are responsible for developing acute sickle pain management protocols for their patients, and to health care staff in the acute care setting.
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