Creighton University School of Medicine, Phoenix, AZ, USA.
Division of Pediatric Urology, Phoenix Children's Medical Group, Phoenix Children's Hospital, 1920 East Cambridge Ave, Building E-Suite 302, Phoenix, AZ, 85006, USA.
Paediatr Drugs. 2021 Sep;23(5):417-423. doi: 10.1007/s40272-021-00462-2. Epub 2021 Jul 31.
Adequate pain management is important for successful postoperative recovery after any surgical procedure. Unfortunately, the USA and many other parts of the world are in the midst of an opioid epidemic, and healthcare providers are thus tasked with balancing the comfort and recovery of their patients after an operation against the individual and societal harms of the over-prescription of opioids. The goal of this article is to discuss the range of opioid formulations currently in use, examine why this may be problematic, and explore alternatives that provide similar efficacy and may improve overall safety in the pediatric population after urologic surgery. Improving the way opioids are prescribed through clinical practice guidelines as well as considering alternatives to opioids can ensure patients have access to safer and more effective pain treatments and potentially reduce opioid misuse.
充分的疼痛管理对于任何外科手术后的成功康复都很重要。不幸的是，美国和世界上许多其他地区正处于阿片类药物流行之中，因此医疗保健提供者的任务是平衡患者手术后的舒适度和恢复情况，以及阿片类药物过度处方给个人和社会带来的危害。本文的目的是讨论目前使用的各种阿片类药物制剂，探讨为什么这可能是有问题的，并探讨在泌尿科手术后为儿科人群提供类似疗效且可能提高整体安全性的替代药物。通过临床实践指南改善阿片类药物的处方方式，并考虑阿片类药物的替代药物，可以确保患者能够获得更安全、更有效的疼痛治疗方法，并有可能减少阿片类药物的滥用。
