Some adolescents may be at particular risk of opioid problems, especially those who have had substance use problems in the past or who have mental health problems.
Dr. Hudland can prescribe opioids when needed, even in high-risk patients, such as those with anxiety, depression, or substance abuse problems, but “take great care. I need to. “
When his patient, a young adult with alcohol use disorders, needed surgery, Dr. Hudland said, “Both I and myself are worried about the potential misuse of opioids due to a history of addiction. I did. ” He and the surgeon have partnered and agreed to provide post-operative pain management because Dr. Hudland can more easily deal with and work more comfortably with patients with this history. He said he prescribed a very small amount of oxycodone and discussed with the patient that he felt he was taking the drug at all stages. “We had open communication around it and things really went well.”
The guidelines go beyond the debate about when to use opioids to the importance of educating both children and their parents and caregivers about possible side effects of opioids (excessive sedation and respiratory depression), medical instructions. Regarding the importance of careful follow-up, these medications should be stored safely (ie, in a locked location) and unused medications should be safely and reliably taken out of the home (in a safe opioid waste bin). Must be returned).
All the other experts I have spoken to are multimodal pain relief, the use of opioids when other drugs are inadequate for effective pain management, and careful monitoring, locked storage, and safety of unused doses. We did not propose to change certain recommendations for good parental education that would lead to good disposition.
“The spirit behind these guidelines is correct,” said Dr. Hudland. “Prescribe the lowest effective dose in the shortest possible time, use only short-acting formulations, discuss risks with family members, monitor medications, and limit medications.”
Dr. Kirkpatrick said that if a child uses these medications as prescribed to manage pain, parents and doctors “may have a significantly higher risk of developing problems related to opioid use.” You can rest assured that there is no such thing.
“If your child needs surgery, talk to your doctor and ask about what kind of pain you expect,” said Dr. Kelly Kuon. She said she would ask if opioids are used, how they should be used, and how they can be safely disposed of. “We want to be a sweet spot, treat pain properly, maximize profits and minimize risk.”
New guidelines cover opioid use after surgery in children
Source link New guidelines cover opioid use after surgery in children