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Several recent studies have demonstrated that pain therapy does not negatively influence either the diagnosis or subsequent treatment of these patients; however, current practice patterns continue to favour withholding pain medication prior to diagnosis and surgical treatment decision. A systematic review of <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>ub<jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>ed, <jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>eb\u2010of\u2010<jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>cience and <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>he\u2010<jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ochrane\u2010<jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ibrary from 1929 to 2011 was carried out using the key words of \u2018acute\u2019, \u2018abdomen\u2019, \u2018pain\u2019, \u2018emergency\u2019 as well as different pain drugs in use, revealed 84 papers. The results of the literature review were incorporated into six sections to describe management of acute abdominal pain: (1) Physiology of Pain; (2) Common Aetiologies of Abdominal Pain; (3) Pre\u2010diagnostic Analgesia; (4) Pain Therapy for Acute Abdominal Pain; (5) Analgesia for Acute Abdominal Pain in Special Patient Populations; and (6) Ethical and Medico\u2010legal Considerations in Current Analgesia Practices. A comprehensive algorithm for analgesia for acute abdominal pain in the general adult population was developed. A review of the literature of common aetiologies and management of acute abdominal pain in the general adult population and special patient populations seen in the emergency room revealed that intravenous administration of paracetamol, dipyrone or piritramide are currently the analgesics of choice in this clinical setting. Combinations of non\u2010opioids and opioids should be administered in patients with moderate, severe or extreme pain, adjusting the treatment on the basis of repeated pain assessment, which improves overall pain management.<\/jats:p>","DOI":"10.1002\/j.1532-2149.2014.00456.x","type":"journal-article","created":{"date-parts":[[2014,1,22]],"date-time":"2014-01-22T08:19:45Z","timestamp":1390378785000},"page":"902-913","source":"Crossref","is-referenced-by-count":58,"title":["Treatment of acute abdominal pain in the emergency room: A systematic review of the literature"],"prefix":"10.1002","volume":"18","author":[{"given":"C.","family":"Falch","sequence":"first","affiliation":[{"name":"Surgery University of T\u00fcbingen  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Vicente","sequence":"additional","affiliation":[{"name":"Department of Surgery Walter Reed National Military Medical Center  Bethesda USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"H\u00e4berle","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology University of T\u00fcbingen  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Kirschniak","sequence":"additional","affiliation":[{"name":"Surgery University of T\u00fcbingen  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Surgery University of T\u00fcbingen  Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Nissan","sequence":"additional","affiliation":[{"name":"INCORE, International Consortium of Research Excellence of the Theodor\u2010Billroth\u2010Academy\u00ae  Germany \u2013 Israel \u2013 Serbia \u2013 USA"},{"name":"Theodor\u2010Billroth\u2010Academy\u00ae  Germany \u2013 Israel \u2013 USA"},{"name":"Department of Surgery Hadassah\u2010Hebrew University Medical Center  Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.L.D.M.","family":"Br\u00fccher","sequence":"additional","affiliation":[{"name":"INCORE, International Consortium of Research Excellence of the Theodor\u2010Billroth\u2010Academy\u00ae  Germany \u2013 Israel \u2013 Serbia \u2013 USA"},{"name":"Theodor\u2010Billroth\u2010Academy\u00ae  Germany \u2013 Israel \u2013 USA"},{"name":"Bon Secours Cancer Institute  Richmond USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,1,22]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2009.171793"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2007.050914"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa032196"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.305.6853.554"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003643-200309000-00012"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.2165\/00003495-200363992-00003"},{"key":"e_1_2_9_8_1","first-page":"175","article-title":"Regionalan\u00e4sthesie, periphere Nervenblockaden und r\u00fcckenmarksnahe Verfahren zur postoperativen Schmerztherapie \u2013 juristische Aspekte","volume":"13","author":"Biermann E.","year":"1999","journal-title":"Schmerz"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00101-003-0641-5"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1086-5802(16)30393-X"},{"key":"e_1_2_9_11_1","first-page":"1139","volume-title":"Textbook of Pain","author":"Brune K.","year":"1999"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200412000-00028"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)03313-9"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.3548.6"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-008-0707-3"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/64.4.518"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2008.02.007"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-172X.2008.00712.x"},{"key":"e_1_2_9_19_1","first-page":"35","article-title":"The OMGE acute abdominal pain survey. 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