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Three patients and their drugs: A parallel case paper on paediatric opiate use and withdrawal

Harold B Siden1, Kathleen Collin

  • 1Department of Pediatrics, Children's & Women's Health Centre of British Columbia, University of British Columbia, and Canuck Place Children's Hospice.

Paediatrics & Child Health
|August 14, 2009
PubMed

Insights

Managing pediatric pain with opioids requires careful consideration. This article presents three distinct pediatric cases to guide clinicians on initiating and discontinuing opioid therapy using a flexible, patient-centered approach.

Area of Science:

  • Pediatric pharmacology and pain management.
  • Clinical case studies in medicine.

Background:

  • Opioid therapy is essential for various pediatric conditions, yet challenging to initiate and discontinue.
  • Clinicians face difficulties in managing opioid use in children.

Observation:

  • Presents three parallel pediatric cases: an infant with neonatal abstinence syndrome, and two adolescents with chronic headache and cystic fibrosis.
  • Highlights the unique aspects of each case to inform clinical decision-making.

Findings:

  • Opioid management in pediatrics necessitates individualized strategies rather than rigid protocols.
  • Successful opioid discontinuation is achievable with a tailored, patient-centered approach.

Implications:

  • Provides practical insights for clinicians managing pediatric patients on opioid therapy.
  • Emphasizes the importance of flexible, individualized care plans for opioid management in children.

Keywords:
AdolescentChildDrug withdrawalNeonatal abstinence syndromeOpioidsPain

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