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The safety of prescribing opioids in pediatrics
David P Martin1, Tarun Bhalla, Ralph Beltran
1Ohio State University, Nationwide Children's Hospital, Department of Anesthesiology and Pain Medicine , 700 Children's Drive, Columbus, OH 43205 , USA +1 614 722 4200 ; +1 614 722 4203 ; David.Martin@Nationwidechildrens.org.
Insights
This review examines oral narcotic analgesics for acute pain management, highlighting safety data and adverse effects. It offers expert opinions on current and future prescribing practices for pediatric pain.
Area of Science:
- Pediatric Pain Management
- Pharmacology
- Clinical Practice Guidelines
Background:
- Pain management is a critical, evolving area across medical specialties.
- Pediatric pain management has advanced, yet concerns about treatment adequacy persist.
- Despite aggressive pain treatment, safety and adverse effects of narcotic analgesics are often overlooked.
Purpose of the Study:
- To review the current use of oral narcotic medications for acute pain.
- To analyze available safety data for prescribing these medications.
- To provide expert opinions on opiate analgesic prescribing and acute oral pain management.
Main Methods:
- Literature review of acute pain management strategies.
- Emphasis on oral narcotic analgesics and their safety profiles.
- Synthesis of expert opinions on current and future practices.
Main Results:
- Oral narcotic analgesics are a key component of acute pain management.
- Safety data and potential adverse effects require careful consideration.
- Current practices may overlook critical safety aspects of these medications.
Conclusions:
- A structured, step-wise approach to acute oral pain management is proposed.
- Expert opinions guide future prescribing practices for opiate analgesics.
- Balancing effective pain relief with patient safety is paramount.
Introduction:
Pain management has become a widely discussed topic throughout all medical subspecialties. Although pediatric pain management has evolved significantly in its recent history, there is continued interest in the adequacy of pain treatment, both in the acute inpatient setting as well as the postoperative and chronic pain management setting. Although health care providers are becoming more aggressive concerning prompt and effective treatment of acute and chronic pain, safety data and adverse effects of narcotic analgesics may be overlooked.
Areas Covered:
The authors review the current paradigm of acute pain management with an emphasis on oral narcotic medications, and the safety data available concerning prescribing these medications.
Expert Opinion:
Further, the authors present their opinions concerning current and future practices regarding the prescribing practice of opiate analgesics, as well as a step-wise approach for acute oral pain management.
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