Opioid therapy in infants, children, and adolescents / Ravi D. Shah, Santhanam Suresh, editors.
| Other author | Shah, Ravi D. |
| Other author | Suresh, Santhanam. |
| Format | Electronic |
| Publication Info | Cham : Springer, 2020. |
| Description | 1 online resource (355 pages) |
| Supplemental Content | Direct link to eBook |
| Subjects |
| Contents | Intro -- Preface -- Contents -- Contributors -- Part I: An Opioid Crisis with Pediatric Implications -- Chapter 1: Epidemiology and Public Health Implications of the Opioid Crisis -- Addiction and the Rise of the Opioid Epidemic -- The Origins of the Contemporary Opioid Crisis -- Health and Public Health Implications of the Opioid Epidemic -- History of Addiction Treatment -- Current Approach to Addiction Treatment -- Medication for Opioid Use Disorder -- Behavioral Health Treatment for Opioid Use Disorder -- Special Populations -- Pregnancy, Neonatal Abstinence Syndrome, and Breastfeeding |
| Contents | Adolescents -- Overdose Prevention and Harm Reduction -- References -- Chapter 2: The Impact of the Opioid Crisis on Neonates, Children, and Adolescents -- Introduction -- Neonatal Abstinence Syndrome -- Epidemiology -- Clinical Implications -- Challenges of Caring for NAS Infants -- Long-Term Outcomes -- Opioid-Related Morbidity and Mortality in Children and Adolescents -- Epidemiology of Hospitalizations for Pediatric Opioid Poisonings -- Epidemiology of Fatal Pediatric Opioid Poisonings -- Circumstances Surrounding Fatal Pediatric Opioid Poisonings -- Pediatric and Adult Mortality Trends |
| Contents | Implications of Adult and Teen Opioid Misuse on Young Children -- Need for Pediatric-Specific Interventions and Further Research -- Conclusions -- References -- Chapter 3: Legal Issues in Pediatric Opioid Therapy -- How Can State and Federal Government Help with Opioid Misuse in the Pediatric Population? -- Government Hierarchy -- Food and Drug Administration -- Current Initiatives -- Drug Enforcement Agency -- Centers for Disease Control -- Prescription Drug Monitoring Programs -- Prescribing Opioids, Informed Consent, and Minors -- Consent for Opioid Prescribing |
| Contents | Adolescents and Medication-Assisted Therapy (MAT) -- Impact of Current Laws and Guidelines -- Proposed Action Plan for Clinicians -- References -- Chapter 4: The Impetus for Recognizing, Preventing, and Treating Pain in the Pediatric Population -- Introduction -- Acute Pain -- Pain in Neonates -- Procedural Pain -- Chronic Pain -- Conclusions -- References -- Chapter 5: Evidence-Based Guidelines for Opioid Therapy in Pediatrics -- Introduction -- Patterns of Opioid Prescribing in Children and Adolescents in the United States |
| Contents | Problematic Opioid Use Behaviors Following a Legitimate Opioid Prescription -- Guidelines on Opioid Prescribing -- Implications of Opioid Guidelines for Pediatric Pain Management -- Efforts in State of Washington -- References -- Part II: Considerations for Safe Opioid Prescribing in Pediatrics -- Chapter 6: Neonatal and Pediatric Pharmacology -- Introduction -- Potential Opioid-Drug Interactions -- Polymorphism Impact on Opioid Analgesia and Adverse Effects -- Obesity and Opioid Dosing -- Opioid Clearance -- Safety of Opioid Prescription -- Morphine -- Hydromorphone -- Codeine -- Hydrocodone |
| Abstract | Opioid analgesics are among the most effective medications for pain management but are associated with serious and increasing public health problems, including abuse, addiction, and death from overdose. Currently, there is an opioid epidemic in the United States with the rate of prescription opioid-related overdose deaths quadrupling over the last 15 years. Pediatric patients are particularly vulnerable to the devastating consequences of opioid misuse. Adolescents who are prescribed opioids are at a higher risk for abusing illicit drugs later in life. Clinicians managing pediatric pain must account for such issues while still delivering effective analgesia to young patients who suffer from both acute and chronic pain. Opioid Therapy in Children and Adolescents is designed to explore the unique aspects of opioid therapy in pediatric patients. An introductory framework provides historical context and describes the epidemiology of the opioid crisis with focus on pediatric implications. Subsequent chapters focus on pediatric opioid pharmacology, safe opioid prescribing practices, and non-opioid alternatives to managing pediatric pain states, including multimodal analgesic strategies, interdisciplinary approaches, and complementary medicine. Mitigation strategies against pediatric opioid diversion and misuse are addressed to help clinicians develop practice changes that protect pediatric patients from opioid-related morbidity and mortality. Clinical case examples are also utilized throughout the text to provide grounding for each chapter and a context within which to examine pertinent issues. This first of its kind book provides a comprehensive approach that will guide clinicians to appropriately and safely prescribe opioid analgesics to pediatric patients suffering from pain. It is an invaluable resource for pediatricians, family practitioners, anesthesiologists, pediatric oncologists, and other clinicians who manage pediatric pain. |
| General note | Includes index. |
| General note | Tramadol |
| Source of description | Print version record. |
| Issued in other form | Print version: Shah, Ravi D. Opioid Therapy in Infants, Children, and Adolescents. Cham : Springer, ©2020 9783030362867 |
| Genre/form | Electronic books. |
| ISBN | 9783030362874 (electronic bk.) |
| ISBN | 3030362876 (electronic bk.) |
| Standard identifier# | 10.1007/978-3-030-36 |
| Stock number | com.springer.onix.9783030362874 Springer Nature |