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Ibuprofen use for paediatric pain management

Christopher Eccleston, Tess E Cooper, Emma Fisher, Brian Anderson, Nick Mr Wilkinson
BACKGROUND: Pain is a common feature of childhood and adolescence around the world, and for many young people, that pain is chronic. The World Health Organization guidelines for pharmacological treatments for children's persisting pain acknowledge that pain in children is a major public health concern of high significance in most parts of the world. While in the past pain was largely dismissed and was frequently left untreated, views on children's pain have changed over time, and relief of pain is now seen as important...
August 2, 2017: Cochrane Database of Systematic Reviews
B Oremule, M Johnson, L Sanderson, J Lutz, J Dodd, P Hans
OBJECTIVES: The withdrawal of codeine for use in children following tonsillectomy enforced a change in our practice of providing regular paracetamol and ibuprofen, with codeine for breakthrough pain relief. Our objectives were to; examine the effectiveness of paracetamol and ibuprofen; examine the effectiveness of the addition of rescue (PRN) morphine to regular paracetamol and ibuprofen. METHODS: A 2 cycle prospective audit was conducted on our unit. Telephone consultations were conducted with parents of 74 children undergoing tonsillectomy and adenotonsillectomy...
December 2015: International Journal of Pediatric Otorhinolaryngology
Melahat Akgun Kostak, Sevil Inal, Emine Efe, Hatice Bal Yilmaz, Zeynep Senel
OBJECTIVE: To determine the pharmacological and non-pharmacological methods used by neonatal intensive care unit nurses to reduce procedural pain. METHODS: The cross-sectional study was conducted from September 2011 to June 2012 and comprised nurses employed in the paediatric departments, consisting of neonatal intensive care units and newborn units, of 15 hospitals in various cities of Turkey: 8 in Istanbul, 3 in Izmir and two each in Antalya and Edirne. Data was collected using a questionnaire and analysed using SPSS 15...
May 2015: JPMA. the Journal of the Pakistan Medical Association
J N van den Anker
Fever and pain in children, especially associated with infections, such as otitis media, are very common. In paediatric populations, ibuprofen and paracetamol (acetaminophen) are both commonly used over-the-counter medicines for the management of fever or mild-to-moderate pain associated with sore throat, otitis media, toothache, earache and headache. Widespread use of ibuprofen and paracetamol has shown that they are both effective and generally well tolerated in the reduction in paediatric fever and pain...
January 2013: International Journal of Clinical Practice. Supplement
Y Du, U Ellert, W Zhuang, H Knopf
BACKGROUND: Previous studies suggest that pain management by analgesic medications may be low among children. This study aims to investigate analgesic use and its correlates among children in Germany. METHODS: Analgesic use during a 1-week period was investigated in a community sample of 14,836 children and adolescents aged between 3 and 17 years in Germany. SPSS complex sample method was used to estimate the prevalence and associated factors of analgesic use among the general child population and among those children with pain in the same child population...
July 2012: European Journal of Pain: EJP
Michael Shepherd, Richard Aickin
Paediatric limb fracture is a common injury that presents frequently to the ED. The primary objective of the present study was to determine whether ibuprofen provides better analgesia than paracetamol for paediatric patients discharged with acute limb fractures. A prospective, randomized controlled study was conducted in a children's ED. Children aged 5-14 years with an acute limb fracture were randomized to be prescribed paracetamol 15 mg/kg/dose every 4 h or ibuprofen 10 mg/kg/dose every 8 h. Objective (child-reported) pain scores using the 'Faces' pain scale were measured over a 48 h period...
December 2009: Emergency Medicine Australasia: EMA
A Joly, C Ecoffey
For many years, postoperative pain has been undertreated in children less than 5 years old in comparison to adults. The assessment of pain is indeed difficult in this range of age, and only the scales of hetero-evaluation are used. The guidelines for treatment are similar as in adults: systematic administration, balanced analgesia, evaluation of pain and potential adverse effects. Non opioid analgesics used are mainly paracetamol, niflumic acid and ibuprofen. Morphine remains the drug of choice among opioids; however the risk of respiratory depression in higher in infants less than 3 months old...
1998: Annales Françaises D'anesthèsie et de Rèanimation
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