Publication: Strategies for preventing side effects of systemic opioid in postoperative pediatric patients
Issued Date
2014-01-01
Resource Type
ISSN
14609592
11555645
11555645
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2-s2.0-84900437034
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Mahidol University
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SCOPUS
Bibliographic Citation
Paediatric Anaesthesia. Vol.24, No.6 (2014), 561-568
Suggested Citation
Thanaporn Jitpakdee, Sahatsa Mandee Strategies for preventing side effects of systemic opioid in postoperative pediatric patients. Paediatric Anaesthesia. Vol.24, No.6 (2014), 561-568. doi:10.1111/pan.12420 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/34585
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Title
Strategies for preventing side effects of systemic opioid in postoperative pediatric patients
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Abstract
Background and Objectives Opioid is the gold standard for treating moderate-to-severe pain in pediatric patients. However, its undesirable side effects lead to unsatisfied postoperative pain management outcome (Pediatr Anesth, 17, 2007, 756). The most commonly reported opioid-related side effects are vomiting (40%), pruritus (20-60%) (Anesthesiology, 77, 1992, 162; Drugs, 67, 2007, 2323), and constipation (15-90%) (Int J Clin Pract, 61, 2007, 1181). The potential life-threatening adverse event, respiratory depression, is less common (0.0013%) (Pediatr Anesth, 20, 2010, 119). The aim of this review was to evaluate prevention strategies that have been shown to decrease opioid side effects in pediatric patients during the postoperative period. Methods Literature searches were conducted from 1984 to February 2013. Meta-analysis, systematic review, and randomized, placebo-controlled studies were obtained from PubMed and the Cochrane Library. The medical subject heading (MeSH) terms were opioid analgesics, adverse effects, pediatrics, children, side effects, and postoperative pain. Results and conclusion Data from 62 studies were reviewed. The strategies that could effectively prevent and reduce opioid side effects in pediatric patients during the postoperative period included minimizing the amount of opioid consumption by a multimodal approach, opioid titration, using local anesthetic techniques and providing the specific prophylaxis for each side effect. © 2014 John Wiley & Sons Ltd.