AKUTT ABDOMEN PDF

An acute abdomen refers to a sudden, severe abdominal pain. Several causes need immediate surgical treatment. Acute abdomen is occasionally used synonymously with peritonitis. While this is not entirely incorrect, peritonitis is the more specific term, referring to inflammation of the peritoneum.

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JavaScript is disabled for your browser. Some features of this site may not work without it. Rasting, Olav Anders. Master thesis, Group thesis. Metadata Show metadata. Appears in the following Collection Profesjonsstudiet medisin []. Traditionally opioids have been withheld due to fear of masking symptoms and physical findings, which in turn could obscure diagnosis and delay surgical intervention. This paper reviews the evidence based literature on this topic. Methods For this review we performed a systematic search in PubMed and Cochrane.

Results Ten RCTs fulfilled the inclusion criteria. In addition, we included two meta-analysis. We focused on four effect variables comparing opioids to placebo. The use of opioid analgesics significantly reduces the mean VAS-score, while there were no significant changes for the three remaining variables. Conclusion Despite some minor methodological weaknesses in some of the studies, our review of the literature indicates that administration of opioid analgesics, prior to surgical assessment, effectively relieves pain, without increasing the risk of masking symptoms, diagnostic and treatment errors.

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