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Medicine Research Summaries. Volume 20
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01.Diclofenac for acute pain in children pp. 327-329
02.Oral ibuprofen for acute postoperative pain pp. 335-336
03.Development and initial validation of the Batten’s Observational Pain Scale: A preliminary study pp. 283-292
04.Effect of fentanyl addition to bupivacaine on cervical plexus block for carotid endarterectomy pp. 319-323
05.Prescription patterns of analgesics and pain relief for hospitalized trauma patients in a tertiary care teaching hospital of a Caribbean developing country pp. 241-246
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Diclofenac for acute pain in children pp. 327-329 $45.00
Authors:  Patricia Melcer
Abstract:
The research question for the Cochrane Nursing Care Field (CNCF) was if diclofenac decrease acute pain and post-administration adverse effects in children compared to a placebo or any other treatment? The review revealed that Diclofenac was effective in treating acute post-operative pain in children. When given during the peri-operative period, Diclofenac significantly decreased the number of children requiring additional pain medication by half, and significantly reduced the incidence of nausea and/or vomiting. Diclofenac was twice as effective as Paracetamol for pediatric surgical pain, and while it causes similar types of serious adverse reactions as in adults, they are rare and occur in fewer than 3 in 1,000 children who received the drug. Intramuscular injections should be avoided due to the risk of serious injection site tissue damage. More research is recommended to determine optimal dosing in children, as this aspect of drug administration was not a focus of any of the studies. 


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Diclofenac for acute pain in children pp. 327-329