Naveen Poonai 1,2 , Rongbu Zhu 3 . Show Affiliations »
Abstract
BACKGROUND: Acute pain is one of the most common presenting complaints in pediatric patients presenting to the emergency department. Recently, concern about the safety of narcotics such as codeine has sparked a renewed interest in opioids such as morphine and intranasal fentanyl. OBJECTIVES: Consequently, opioids are being increasingly used in the clinical setting. Despite this, there is ample evidence that clinicians are less willing to offer opioids to children compared to adults. METHODS: The reasons for this are multifactorial but nevertheless, the provision of adequate analgesia in children is echoed by a several academic societies as a priority for comprehensive care. To address this mandate, evidence for therapies such as oral morphine, topical analgesia, and intranasal fentanyl is now mounting. RESULT AND CONCLUSIONS: This review will discuss the evidence and effectiveness of analgesia for children with acutely painful conditions in the post-codeine era. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.
BACKGROUND: Acute pain is one of the most common presenting complaints in pediatric patients presenting to the emergency department. Recently, concern about the safety of narcotics such as codeine has sparked a renewed interest in opioids such as morphine and intranasal fentanyl . OBJECTIVES: Consequently, opioids are being increasingly used in the clinical setting. Despite this, there is ample evidence that clinicians are less willing to offer opioids to children compared to adults. METHODS: The reasons for this are multifactorial but nevertheless, the provision of adequate analgesia in children is echoed by a several academic societies as a priority for comprehensive care. To address this mandate, evidence for therapies such as oral morphine , topical analgesia , and intranasal fentanyl is now mounting. RESULT AND CONCLUSIONS: This review will discuss the evidence and effectiveness of analgesia for children with acutely painful conditions in the post-codeine era. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.
Entities: Chemical
Disease
Species
Keywords:
Morphine; abdomen; analgesia; codeine; fracture; opioid; otitis; pain; pediatric.
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Substances: See more »
Year: 2018
PMID: 28847287 DOI: 10.2174/1573396313666170829115631
Source DB: PubMed Journal: Curr Pediatr Rev ISSN: 1573-3963