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Biomedical subjects

V Peden

Publications and source records attributed to V Peden.

3 recordsLinked to original sources

Assessment of pain by parents in young children following surgery.

BACKGROUND: We asked parents to assess pain in young children following surgery. METHODS: Assessments were carried out by both parents and an independent assessor using a behavioural observational scale. RESULTS: Forms were returned from the parents of 42 children aged 1-5 years. There were 123 joint assessments and there was a strong correlation between the scores by the observer and the parents (r2=0.84). Twenty-nine children experienced pain following discharge from hospital. CONCLUSION: Our findings suggest that parents can assess pain in young children following surgery. The management of pain following discharge from hospital can be improved.

Adult↗

Unlicensed and off label analgesic use in paediatric pain management.

BACKGROUND: The management of pain in children has advanced enormously in recent years. Pharmacological treatment of pain is complicated however, by the widespread use of unlicensed and off label medicines in the paediatric population, leading to everyday practical problems. This study aimed to document the incidence and nature of unlicensed and off label analgesic agents in children. METHODS: Data regarding analgesic use were collected prospectively over a 4-week period from two wards. The data were analysed to determine whether the drug use was licensed, unlicensed or off label. RESULTS: Seven hundred and fifteen prescription episodes were analysed. Some 480 of these (67%) were licensed; 235 were licensed medicines used in an off label manner (33%). No medicines were unlicensed. Paracetamol was the most common analgesic used. CONCLUSION: Issues regarding the use of off label drugs in children at risk of pain are discussed. Suggestions are made regarding the way forward for the future.

Analgesics↗