Pediatric postoperative opioid prescribing and the opioid crisis.

Abstract:

PURPOSE OF REVIEW:The purpose of this review is to explore the effects of the opioid crisis on pediatric patients in the postoperative setting and provide recommendations for well-tolerated opioid prescribing practices. RECENT FINDINGS:Opioid overdoses have increased among all age groups, predominantly related to overprescribing and accessibility of opioids in the home. Adverse risks of prescribed opioids include respiratory depression, gastrointestinal distress, accidental ingestion, intentional misuse, new chronic use, diversion to another user, and overdose. Well-tolerated opioid prescribing practices include multimodal pain management; prescribing guided by patient need; risk assessment for potential misuse; and comprehensive patient and family education on risks, safe storage, and disposal practices. Evolving state laws will affect varying institutional policies; thus, providers must ensure their prescribing practices are current and compliant. SUMMARY:All age groups have been affected by the opioid crisis, including children and adolescents. When managing postoperative pain, clinicians must balance appropriate pain management with well-tolerated opioid stewardship to minimize harm related to postoperative care.

journal_name

Curr Opin Pediatr

authors

Harbaugh CM,Gadepalli SK

doi

10.1097/MOP.0000000000000768

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

378-385

issue

3

eissn

1040-8703

issn

1531-698X

pii

00008480-201906000-00015

journal_volume

31

pub_type

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