Opioid-induced constipation in intensive care–how big is the problem, and can we solve it?

A Masding, S Kaul - Clinical Medicine, 2019 - ncbi.nlm.nih.gov
Aims Opioids are commonly used on the intensive care unit (ICU) but are associated with a
high incidence of constipation, often resistant to conventional laxative treatment. Recently …

[HTML][HTML] Methylnaltrexone for the treatment of opioid-induced constipation and gastrointestinal stasis in intensive care patients. Results from the MOTION trial

PB Patel, SJ Brett, D O'Callaghan, A Anjum… - Intensive Care …, 2020 - Springer
Purpose Constipation can be a significant problem in critically unwell patients, associated
with detrimental outcomes. Opioids are thought to contribute to the mechanism of bowel …

[PDF][PDF] Evaluating the Safety and Efficacy of Naloxegol in Critically Ill Opioid-Induced Constipation Patients

MZ Rizwan, R Garcia, K Mara, S Nei, Z Rizwan - Cureus, 2023 - cureus.com
Background Opioid-induced constipation (OIC) has become more common in the intensive
care unit (ICU) due to increased opioid utilization. Traditional laxatives often prove …

[PDF][PDF] Methylnaltrexone and naloxone for opioid-induced constipation in the critical care setting

HS Saini, Z Alvi, B Singh, B Elsharkawy, M Yasir - Cureus, 2020 - cureus.com
Opioid antagonists in the ICU are often a last-line medication given to patients with opioid-
induced constipation. Traditionally, patients have been administered nonopioid-based …

MANAGEMENT OF OPIOID-INDUCED CONSTIPATION IN THE ADULT MEDICAL CRITICAL CARE UNIT: A RETROSPECTIVE COHORT STUDY

T Kable, I Ganapathiraju, S DuMontier, R Sabates… - Chest, 2020 - journal.chestnet.org
PURPOSE: Opioid-induced constipation (OIC) is defined as fewer than 3 bowel movements
(BMs) per week according to the American Gastroenterology Association. It is a common …

Naloxegol versus Methylnaltrexone for Opioid-Induced Constipation in Critically Ill Patients

D Tobben, S Carpenter, R Kolar… - Annals of …, 2023 - journals.sagepub.com
Background: Constipation impacts 58% to 83% of critically ill patients and is associated with
increased time on mechanical ventilation, delirium, and increased length of stay (LOS) in the …

413: STARTING A MOVEMENT IN THE ICU: NALOXEGOL VERSUS METHYLNALTREXONE FOR OPIOID-INDUCED CONSTIPATION

D Tobben, S Carpenter, R Kolar, T Collier - Critical Care Medicine, 2024 - journals.lww.com
Methods: This was a retrospective, multi-center, cohort study of ICU patients admitted
between January 1, 2014 and September 1, 2022. Patients were included if received opioid …

[HTML][HTML] Naloxegol to prevent constipation in ICU adults receiving opioids: a randomized double-blind placebo-controlled pilot trial

MS Duprey, H Allison, E Garpestad… - Critical Care Research …, 2022 - hindawi.com
Background. Constipation is frequent in critically ill adults receiving opioids. Naloxegol (N), a
peripherally acting mu-receptor antagonist (PAMORA), may reduce constipation. The …

Naloxone versus methylnaltrexone for opioid-induced constipation in critically ill patients

EA Habeeb, LK Tran, MZ Goodberlet… - Annals of …, 2023 - journals.sagepub.com
Background: Opioid-induced constipation (OIC) may occur in up to 81% of critically ill
patients and can lead to many complications. Opioid antagonists are a reasonable approach …

Enteral naloxone for the treatment of opioid-induced constipation in the medical intensive care unit

CM Gibson, SE Pass - Journal of Critical Care, 2014 - Elsevier
Purpose To determine the safety and efficacy of enteral naloxone for the treatment of opioid-
induced constipation in the medical intensive care unit (MICU). Materials and Methods This …