The Society for Pediatric Anesthesia recommendations for the use of opioids in children during the perioperative period

Joseph P. Cravero*, Rita Agarwal, Charles Berde, Patrick Birmingham, Charles J. Coté, Jeffrey Galinkin, Lisa Isaac, Sabine Kost-Byerly, David Krodel, Lynne Maxwell, Terri Voepel-Lewis, Navil Sethna, Robert Wilder

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

Opioids have long held a prominent role in the management of perioperative pain in adults and children. Published reports concerning the appropriate, and inappropriate, use of these medications in pediatric patients have appeared in various publications over the last 50 years. For this document, the Society for Pediatric Anesthesia appointed a taskforce to evaluate the available literature and formulate recommendations with respect to the most salient aspects of perioperative opioid administration in children. The recommendations are graded based on the strength of the available evidence, with consensus of the experts applied for those issues where evidence is not available. The goal of the recommendations was to address the most important issues concerning opioid administration to children after surgery, including appropriate assessment of pain, monitoring of patients on opioid therapy, opioid dosing considerations, side effects of opioid treatment, strategies for opioid delivery, and assessment of analgesic efficacy. Regular updates are planned with a re-release of guidelines every 2 years.

Original languageEnglish (US)
Pages (from-to)547-571
Number of pages25
JournalPaediatric anaesthesia
Volume29
Issue number6
DOIs
StatePublished - Jun 2019

Keywords

  • monitoring
  • opioids
  • patient-controlled analgesia
  • recommendations
  • side effects

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Anesthesiology and Pain Medicine

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