“We must ensure that people living with sickle cell disease don’t become collateral damage in the fight against the opioid overdose epidemic.”
- Adm. Brett Giroir, M.D.,HHS Assistant Secretary for Health
CDC CLARIFICATION ON OPIOIDS FOR SICKLE CELL DISEASE
HOW TO CONDUCT A SICKLE CELL ASSESSMENT
This video from Duke University's School of Nursing demonstrates how to conduct an assessment for a sickle cell patient with a high number of ED visits who might face perceptions of opioid addiction or drug-seeking behavior (3 mins).
GUIDELINES FOR PAIN MANAGEMENT
"Rapidly initiate analgesic therapy within 30 minutes of triage or within 60 minutes of registration."
"In adults and children with SCD and a VOC associated with severe pain, rapidly initiate treatment with parenteral opioids."
Vaso-occlusive crisis/pain episode:
Quick Guide to Recommendations (VOC/pain only)
"For adults and children with SCD presenting to an acute care setting with acute pain related to SCD, the SH guideline panel recommends rapid (within 1 hour of emergency department [ED] arrival) assessment and administration of analgesia with frequent reassessments (every 30-60 minutes) to optimize pain control."
"For adults and children with SCD presenting to an acute care setting with acute pain related to SCD for whom opioid therapy is indicated, the ASH guideline panel suggests tailored opioid dosing based on consideration of baseline opioid therapy and prior effective therapy."