Understanding caregivers’ attitudes towards post-operative opioid use in pediatric sufferers

Routine head and neck procedures, similar to removing of tonsils and adenoids and the position of ear tubes, could trigger reasonable to extreme ache in pediatric sufferers. Over-the-counter analgesics (aspirin and acetaminophen) and ache administration can mitigate this discomfort and are sometimes advisable after surgical procedure to handle ache.

Since most of those sorts of procedures are both achieved as an outpatient, or require solely a brief hospital keep, post-operative ache administration usually is the accountability of the kid’s caregiver. Regardless of not wanting their little one to be in ache, a brand new examine has discovered nearly all of caregivers are uncertain about or don’t really feel comfy giving their little one opioids post-operatively. Most, they discovered, are particularly involved in regards to the danger of dependancy.

Given the present opioid epidemic and the truth that kids proceed to be undertreated for ache following surgical procedures, you will need to perceive caregivers’ attitudes towards post-operative opioid use. Understanding caregivers’ views is crucial, so surgeons can counsel caregivers and supply applicable post-operative ache administration of their sufferers.”

Jessica R. Levi, MD, corresponding writer, affiliate professor of otolaryngology-head & neck surgical procedure, Boston College Faculty of Drugs

An nameless, 11-item questionnaire survey that assessed demographic info and attitudes towards post-operative opioid use for pediatric ache administration survey was distributed to caregivers of pediatric sufferers present process routine head and neck procedures at an educational medical middle in Boston. Thirty-eight % of fogeys mentioned they might really feel comfy giving their little one opioids post-operatively, 30.2 % wouldn’t really feel comfy whereas 31.7 % had been uncertain. For each enhance in a single yr of age of the kid, there was a rise within the odds of a mum or dad being comfy giving opioids. Caregivers who had taken opioids previously had been extra prone to really feel comfy. The consolation degree didn’t differ based mostly on the caregivers’ training degree, earnings, race, or language. “Ache administration in kids after surgical procedure will be difficult, and is one thing that requires dialog between dad and mom and suppliers,” says co-author Michael Cohen, MD, assistant professor of otolaryngology at BUSM and an otolaryngologist at Boston Medical Middle.

In line with the researchers, the most typical barrier to make use of opioids for ache administration was concern about dependancy potential. “Nevertheless, it’s stunning that solely 11 caregivers cited dependancy potential as the explanation behind their opinion on post-operative opioid use. This may very well be as a result of dad and mom management the distribution of post-operative drugs and, due to this fact, imagine they’ll stop this danger,” added Levi, who is also a pediatric otolaryngologist at BMC.

Journal reference:

Ward, L.M., et al. (2022) Opioid use in pediatric otolaryngologic surgical procedure: A survey of caregivers’ attitudes. Journal of Opioid Administration. doi.org/10.5055/jom.2022.0715.

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