Analgesia for fracture pain in children: methodological issues surrounding clinical trials and effectiveness of therapy.
Pain Manag
; 5(6): 435-45, 2015.
Article
in En
| MEDLINE
| ID: mdl-26399275
ABSTRACT
Fractures in childhood are common painful conditions. Suboptimal analgesia has been reported in the emergency department and following discharge. Recently, concern about the safety of narcotics such as codeine has sparked a renewed interest in opioids such as morphine for pediatric fracture pain. Consequently, opioids are being increasingly used in the clinical setting. Despite this, there is ample evidence that clinicians are more willing to offer opioids to adults than children. The existence of limited evidence supporting their use in children is likely a major contributing factor. A closer look at the limitations of designing high-quality analgesic trials in children with fractures is needed to enable investigators to anticipate problems and clinicians to make evidence-based choices.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pain
/
Clinical Trials as Topic
/
Fractures, Bone
/
Analgesics
/
Analgesics, Opioid
Type of study:
Etiology_studies
Limits:
Adolescent
/
Child
/
Humans
Language:
En
Journal:
Pain Manag
Year:
2015
Document type:
Article
Affiliation country:
Canadá
Publication country:
ENGLAND
/
ESCOCIA
/
GB
/
GREAT BRITAIN
/
INGLATERRA
/
REINO UNIDO
/
SCOTLAND
/
UK
/
UNITED KINGDOM