Departments of Anesthesiology.
Pharmacy, Children's Hospital Colorado, University of Colorado-Anschutz Medical Campus, Aurora, CO.
Clin J Pain. 2019 Jun;35(6):487-496. doi: 10.1097/AJP.0000000000000709.
Management of acute pain in children is fundamental to our practice. Its myriad benefits include reduced suffering, improved patient satisfaction, more rapid recovery, and a reduced risk of developing postsurgical chronic pain. Although a multimodal analgesic approach is now routinely used, informed and judicious use of opioid receptor agonists remains crucial in this treatment paradigm, as long as the benefits and risks are fully understood. Further, an ongoing public health response to the current opioid crisis is required to help prevent new cases of opioid addiction, identify opioid-addicted individuals, and ensure access to effective opioid addiction treatment, while at the same time continuing to safely meet the needs of patients experiencing pain.
儿童急性疼痛的管理是我们实践的基础。它有很多好处，包括减轻痛苦、提高患者满意度、更快的康复和降低术后慢性疼痛的风险。尽管现在通常采用多模式镇痛方法，但在这种治疗模式中，明智地使用阿片受体激动剂仍然至关重要，只要充分了解其益处和风险即可。此外，需要对当前阿片类药物危机采取持续的公共卫生应对措施，以帮助预防新的阿片类药物成瘾病例，发现阿片类药物成瘾者，并确保获得有效的阿片类药物成瘾治疗，同时继续安全地满足疼痛患者的需求。
