Division of Pediatric Surgery, Department of Surgery, University of Buffalo, John R. Oishei Children's Hospital, Buffalo, NY.
Division of Pediatric Surgery, Department of Surgery, Emory University, Children's Healthcare of Atlanta, Atlanta, GA.
J Pediatr Surg. 2020 Nov;55(11):2448-2453. doi: 10.1016/j.jpedsurg.2020.02.015. Epub 2020 Feb 19.
In response to the ongoing opioid epidemic, many surgeons who care for children have reflected upon current practices and the history of our own prescribing. In this editorial review, we provide a brief summary of the origins of opioid use in medicine and surgery, we describe how the ongoing opioid epidemic specifically impacts children and adolescents, and we explore contemporary efforts underway to facilitate evidence-based opioid prescribing. Resources for pediatric surgeons including national guidelines related to safe opioid prescribing and web-based toolkits that may be used to implement change locally are highlighted. The goal of the present manuscript is to introduce opioid stewardship as a guiding principle in pediatric surgery. LEVEL OF EVIDENCE: LEVEL V (Expert opinion).
针对持续不断的阿片类药物泛滥问题，许多治疗儿童的外科医生都对当前的治疗方法和我们自己的处方用药史进行了反思。在这篇社论评论中，我们简要概述了阿片类药物在医学和外科领域的使用起源，描述了阿片类药物泛滥如何具体影响儿童和青少年，还探讨了目前正在努力促进基于证据的阿片类药物处方的方法。本文重点介绍了针对小儿外科医生的资源，包括与安全使用阿片类药物相关的国家指南，以及可用于在当地实施变革的基于网络的工具包。本文的目的是将阿片类药物管理作为小儿外科学的指导原则。证据水平：5 级（专家意见）。
