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Opioid use in children's surgery: Awareness, current state, and advocacy

Kathryn D Bass1, Kurt F Heiss2, Lorraine I Kelley-Quon3

  • 1Division of Pediatric Surgery, Department of Surgery, University of Buffalo, John R. Oishei Children's Hospital, Buffalo, NY.

Journal of Pediatric Surgery
|March 9, 2020
PubMed

Insights

Pediatric surgeons are reassessing opioid prescribing due to the epidemic. This review introduces opioid stewardship to guide safe, evidence-based prescribing for children and adolescents.

Area of Science:

  • Pediatric Surgery
  • Pain Management
  • Public Health

Background:

  • The opioid epidemic necessitates a review of current surgical prescribing practices.
  • Opioid use in medicine has a long history, with significant implications for pediatric populations.
  • Understanding the specific impact of the opioid crisis on children and adolescents is crucial.

Purpose of the Study:

  • To provide a historical overview of opioid use in pediatric surgery.
  • To examine the effects of the opioid epidemic on pediatric patients.
  • To promote opioid stewardship as a framework for safe prescribing in pediatric surgery.

Main Methods:

  • Editorial review of the origins of opioid use.
  • Analysis of the opioid epidemic's impact on children and adolescents.
  • Exploration of current evidence-based prescribing initiatives.

Main Results:

  • Identification of resources for pediatric surgeons, including national guidelines.
  • Highlighting of web-based toolkits for implementing prescribing changes.
  • Emphasis on the need for a structured approach to opioid management.

Conclusions:

  • Opioid stewardship is essential for guiding safe and effective pain management in pediatric surgery.
  • Evidence-based guidelines and accessible tools can support improved prescribing practices.
  • A proactive approach is needed to address the opioid crisis in pediatric surgical care.

Keywords:
Opioid epidemicOpioid stewardshipPain management

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