In aggregate, the data from 1,464 patients (780
received IV acetaminophen) included in the 16 RCTs
indicate that IV acetaminophen is an effective analgesic
in a variety of inpatient and ambulatory surgical procedures.
The RCTs were of generally high methodological
quality, consistent with a recent analysis showing that
acute pain studies are not published unless they contain
specific statements describing the primary end points,
power analysis, and statistical treatment of data from
withdrawals, dropouts, and protocol violations.6
However, the heterogeneity in methods and, in particular,
the definitions of the primary end points, as well as
the variability in IV acetaminophen dosing regimens did
not permit a formal meta-analysis with pooling of
results. IV acetaminophen use was not associated with
increased adverse events compared with placebo within
the limited median follow-up duration for the placebo
studies analyzed being no longer than 3 days and usually
294 • macario and royal
just 1 day. When prescribing IV acetaminophen for
surgical pain, attention must be paid to patients at risk
for hepatotoxicity.7
In aggregate, the data from 1,464 patients (780received IV acetaminophen) included in the 16 RCTsindicate that IV acetaminophen is an effective analgesicin a variety of inpatient and ambulatory surgical procedures.The RCTs were of generally high methodologicalquality, consistent with a recent analysis showing thatacute pain studies are not published unless they containspecific statements describing the primary end points,power analysis, and statistical treatment of data fromwithdrawals, dropouts, and protocol violations.6However, the heterogeneity in methods and, in particular,the definitions of the primary end points, as well asthe variability in IV acetaminophen dosing regimens didnot permit a formal meta-analysis with pooling ofresults. IV acetaminophen use was not associated withincreased adverse events compared with placebo withinthe limited median follow-up duration for the placebostudies analyzed being no longer than 3 days and usually294 • macario and royaljust 1 day. When prescribing IV acetaminophen forsurgical pain, attention must be paid to patients at riskfor hepatotoxicity.7
การแปล กรุณารอสักครู่..
