在急诊科负责任和安全使用阿片类药物的儿童和青少年。

Samina Ali, Amy L Drendel
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引用次数: 0

摘要

儿童期未治疗的疼痛可能会影响到成年期。阿片类药物在一线干预措施无法缓解的中度至重度疼痛的护理中发挥重要作用,但临床医生必须以循证、对社会负责的方式处理急诊科阿片类药物的使用。本期综述了基于证据的方法,重点是优化非阿片类疼痛管理作为第一方法,并在适当的时候安全使用阿片类药物。为更安全的阿片类药物处方提供了建议,包括评估阿片类药物滥用的危险因素,仔细的家庭咨询和教育,以及建议的处方限制。还讨论了纳洛酮在急诊科的处方和使用以及作为带回家的工具包。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Responsible and safe use of opioids in children and adolescents in the emergency department.

Untreated pain in childhood may have ramifications well into adulthood. Opioid medications have an important role in care for moderate to severe pain that cannot be relieved by first-line interventions, but clinicians must approach opioid use in the emergency department in an evidence-based, socially responsible manner. This issue reviews evidence-based approaches to with a focus on optimizing nonopioid pain management as a first approach and using opioid medications safely, when appropriate. Recommendations are provided for safer opioid prescribing, including assessment of risk factors for opioid misuse, careful family counseling and education, and suggested prescribing limits. Prescription and use of naloxone in the emergency department and as take-home kits are also discussed.

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来源期刊
Pediatric emergency medicine practice
Pediatric emergency medicine practice Medicine-Medicine (all)
CiteScore
1.20
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