Opioids in the Management of Acute Pediatric Pain An Update in a Time of Crisis

被引:8
作者
Yaster, Myron [1 ]
Reid, Ashley L. [2 ]
Cohen, Mindy N. [1 ]
Monitto, Constance L. [3 ]
机构
[1] Univ Colorado, Dept Anesthesiol, Childrens Hosp Colorado, Anschutz Med Campus, Aurora, CO 80045 USA
[2] Univ Colorado, Dept Pharm, Childrens Hosp Colorado, Anschutz Med Campus, Aurora, CO 80045 USA
[3] Johns Hopkins Univ, Dept Anesthesiol & Crit Care Med, Baltimore, MD USA
关键词
analgesics; opioid; therapeutic use; opioid-related disorders; epidemiology; morphine; hydromorphone; fentanyl; methadone; oxycodone; hydrocodone; patient-controlled analgesia; PATIENT-CONTROLLED ANALGESIA; POSTOPERATIVE PAIN; RECTAL ACETAMINOPHEN; PRESCRIPTION OPIOIDS; POTENTIAL IMPACT; NEUROPATHIC PAIN; NATIONAL-SURVEY; CANCER PAIN; DRUG-ABUSE; METHADONE;
D O I
10.1097/AJP.0000000000000709
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Management of acute pain in children is fundamental to our practice. Its myriad benefits include reduced suffering, improved patient satisfaction, more rapid recovery, and a reduced risk of developing postsurgical chronic pain. Although a multimodal analgesic approach is now routinely used, informed and judicious use of opioid receptor agonists remains crucial in this treatment paradigm, as long as the benefits and risks are fully understood. Further, an ongoing public health response to the current opioid crisis is required to help prevent new cases of opioid addiction, identify opioid-addicted individuals, and ensure access to effective opioid addiction treatment, while at the same time continuing to safely meet the needs of patients experiencing pain.
引用
收藏
页码:487 / 496
页数:10
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