Recognition and management of iatrogenically induced opioid dependence and withdrawal in children

Title

Recognition and management of iatrogenically induced opioid dependence and withdrawal in children

Creator

Galinkin J; Koh JL; Committee on Drugs; Section On Anesthesiology; Pain Medicine; American Academy of Pediatrics

Publisher

Pediatrics

Date

2014

Subject

Child; Humans; United States; Analgesics; Opioid-Related Disorders; Opioid; Substance Withdrawal Syndrome; Iatrogenic Disease

Description

Opioids are often prescribed to children for pain relief related to procedures, acute injuries, and chronic conditions. Round-the-clock dosing of opioids can produce opioid dependence within 5 days. According to a 2001 Consensus Paper from the American Academy of Pain Medicine, American Pain Society, and American Society of Addiction Medicine, dependence is defined as "a state of adaptation that is manifested by a drug class specific withdrawal syndrome that can be produced by abrupt cessation, rapid dose reduction, decreasing blood level of the drug, and/or administration of an antagonist." Although the experience of many children undergoing iatrogenically induced withdrawal may be mild or goes unreported, there is currently no guidance for recognition or management of withdrawal for this population. Guidance on this subject is available only for adults and primarily for adults with substance use disorders. The guideline will summarize existing literature and provide readers with information currently not available in any single source specific for this vulnerable pediatric population.
2014-01

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

152-155

Issue

1

Volume

133

Citation

Galinkin J; Koh JL; Committee on Drugs; Section On Anesthesiology; Pain Medicine; American Academy of Pediatrics, “Recognition and management of iatrogenically induced opioid dependence and withdrawal in children,” Pediatric Palliative Care Library, accessed September 22, 2021, https://pedpalascnetlibrary.omeka.net/items/show/14897.

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