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15分钟咨询:儿童疼痛缓解简化——在后可待因时代开具口服镇痛药的实用方法

Fifteen-minute consultation: Pain relief for children made simple-a pragmatic approach to prescribing oral analgesia in the postcodeine era.

作者信息

Mason David G

机构信息

Nuffield Department of Anaesthetics, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.

出版信息

Arch Dis Child Educ Pract Ed. 2018 Feb;103(1):2-6. doi: 10.1136/archdischild-2016-311613. Epub 2017 Jun 14.

DOI:10.1136/archdischild-2016-311613
PMID:28615182
Abstract

What are the most effective doses of simple oral analgesics such as paracetamol and ibuprofen for pain relief in children? Why can't I prescribe codeine phosphate for children anymore? Is oral morphine really a safe alternative to codeine phosphate, and if so what dose should I prescribe? These questions are frequently asked by clinicians who wish to give analgesics to children for pain relief. In this article I will address these questions and describe a pragmatic approach for pain relief using oral analgesics based on the best evidence available and my experience as a consultant paediatric anaesthetist.

摘要

对乙酰氨基酚和布洛芬等简单口服镇痛药用于儿童止痛的最有效剂量是多少?为什么我不能再给儿童开磷酸可待因了?口服吗啡真的是磷酸可待因的安全替代品吗?如果是,我应该开多大剂量?希望给儿童使用镇痛药止痛的临床医生经常会问这些问题。在本文中,我将回答这些问题,并根据现有最佳证据以及我作为儿科麻醉顾问的经验,描述一种使用口服镇痛药止痛的实用方法。

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