{"id":1427,"date":"2018-06-11T08:00:32","date_gmt":"2018-06-11T08:00:32","guid":{"rendered":"https:\/\/blogs.bmj.com\/ebn\/?p=1427"},"modified":"2018-05-15T18:49:00","modified_gmt":"2018-05-15T18:49:00","slug":"managing-pain-in-children-developing-a-robust-evidence-base","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/ebn\/2018\/06\/11\/managing-pain-in-children-developing-a-robust-evidence-base\/","title":{"rendered":"Managing pain in children:  developing a robust evidence base"},"content":{"rendered":"<p><span lang=\"EN-US\">Dr Joanna Smith, Associate Professor, Child Nursing, University<\/span>\u00a0of Leeds, UK<a href=\"https:\/\/blogs.bmj.com\/ebn\/files\/2018\/05\/Screen-Shot-2018-05-13-at-09.35.15.png\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1425 alignright\" src=\"https:\/\/blogs.bmj.com\/ebn\/files\/2018\/05\/Screen-Shot-2018-05-13-at-09.35.15.png\" alt=\"\" width=\"265\" height=\"395\" \/><\/a><a href=\"https:\/\/blogs.bmj.com\/ebn\/files\/2015\/11\/IMG_0206.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-825\" src=\"https:\/\/blogs.bmj.com\/ebn\/files\/2015\/11\/IMG_0206.jpg\" alt=\"\" width=\"92\" height=\"105\" \/><\/a><\/p>\n<p>Advances in our knowledge on the safe and effective use of analgesia in children have increased over the past decade.\u00a0A recent EBN commentary that reviewed a randomised controlled trail on the effectiveness of oral morphine compared to ibuprofen administered at home for postoperative orthopaedic pain in children (Poonai <em>et a<\/em>l., 2017), is one example of a robust trial that is advancing our understanding of the effective treatments for pain management in children.<\/p>\n<p>The research is highly relevant as it focuses on managing pain at home post surgery, which is particularly salient with early discharge from hospital now the norm. Furthermore, while opioids have been the mainstay of postoperative pain management in children, complications including respiratory depression, nausea and constipation remain a concern.<\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/ebn\/files\/2018\/05\/Screen-Shot-2018-05-13-at-09.50.00.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-1426\" src=\"https:\/\/blogs.bmj.com\/ebn\/files\/2018\/05\/Screen-Shot-2018-05-13-at-09.50.00.png\" alt=\"\" width=\"748\" height=\"162\" srcset=\"https:\/\/blogs.bmj.com\/ebn\/files\/2018\/05\/Screen-Shot-2018-05-13-at-09.50.00.png 748w, https:\/\/blogs.bmj.com\/ebn\/files\/2018\/05\/Screen-Shot-2018-05-13-at-09.50.00-300x65.png 300w\" sizes=\"auto, (max-width: 748px) 100vw, 748px\" \/><\/a><\/p>\n<p>Dr Cornelius Botha Groenewald\u2019s summary and comments of the research are insightful, and as this is our editor choice for April is freely available at:<\/p>\n<p><a href=\"http:\/\/ebn.bmj.com\/content\/21\/2\/48\">http:\/\/ebn.bmj.com\/content\/21\/2\/48<\/a><\/p>\n<p>Poonai N, Datoo N, Ali S, <i>et al<\/i>. Oral morphine versus ibuprofen administered at home for postoperative orthopaedic pain in children: a randomised controlled trial. <i>CMAJ <\/i>2017;189:E1252\u20138. <a href=\"http:\/\/dx.doi.org\/10.1503\/cmaj.170017\">doi:10.1503\/cmaj.170017<\/a>\u00a0<a href=\"http:\/\/ebn.bmj.com\/lookup\/ijlink\/YTozOntzOjQ6InBhdGgiO3M6MTQ6Ii9sb29rdXAvaWpsaW5rIjtzOjU6InF1ZXJ5IjthOjQ6e3M6ODoibGlua1R5cGUiO3M6NDoiQUJTVCI7czoxMToiam91cm5hbENvZGUiO3M6NDoiY21haiI7czo1OiJyZXNpZCI7czoxMjoiMTg5LzQwL0UxMjUyIjtzOjQ6ImF0b20iO3M6MjA6Ii9lYm51cnMvMjEvMi80OC5hdG9tIjt9czo4OiJmcmFnbWVudCI7czowOiIiO30=\">Abstract\/FREE\u00a0Full Text<\/a><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dr Joanna Smith, Associate Professor, Child Nursing, University\u00a0of Leeds, UK Advances in our knowledge on the safe and effective use of analgesia in children have increased over the past decade.\u00a0A recent EBN commentary that reviewed a randomised controlled trail on the effectiveness of oral morphine compared to ibuprofen administered at home for postoperative orthopaedic pain [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/ebn\/2018\/06\/11\/managing-pain-in-children-developing-a-robust-evidence-base\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":177,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[2362,3643],"class_list":["post-1427","post","type-post","status-publish","format-standard","hentry","tag-child-health","tag-pain-management"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Managing pain in children: developing a robust evidence base - Evidence-Based Nursing blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/ebn\/2018\/06\/11\/managing-pain-in-children-developing-a-robust-evidence-base\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Managing pain in children: developing a robust evidence base - Evidence-Based Nursing blog\" \/>\n<meta property=\"og:description\" content=\"Dr Joanna Smith, Associate Professor, Child Nursing, University\u00a0of Leeds, UK Advances in our knowledge on the safe and effective use of analgesia in children have increased over the past decade.\u00a0A recent EBN commentary that reviewed a randomised controlled trail on the effectiveness of oral morphine compared to ibuprofen administered at home for postoperative orthopaedic pain [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/ebn\/2018\/06\/11\/managing-pain-in-children-developing-a-robust-evidence-base\/\" \/>\n<meta property=\"og:site_name\" content=\"Evidence-Based Nursing blog\" \/>\n<meta property=\"article:published_time\" content=\"2018-06-11T08:00:32+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/ebn\/files\/2018\/05\/Screen-Shot-2018-05-13-at-09.35.15.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2018\\\/06\\\/11\\\/managing-pain-in-children-developing-a-robust-evidence-base\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2018\\\/06\\\/11\\\/managing-pain-in-children-developing-a-robust-evidence-base\\\/\"},\"author\":{\"name\":\"\",\"@id\":\"\"},\"headline\":\"Managing pain in children: developing a robust evidence base\",\"datePublished\":\"2018-06-11T08:00:32+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2018\\\/06\\\/11\\\/managing-pain-in-children-developing-a-robust-evidence-base\\\/\"},\"wordCount\":206,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2018\\\/06\\\/11\\\/managing-pain-in-children-developing-a-robust-evidence-base\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/files\\\/2018\\\/05\\\/Screen-Shot-2018-05-13-at-09.35.15.png\",\"keywords\":[\"Child Health\",\"Pain Management\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2018\\\/06\\\/11\\\/managing-pain-in-children-developing-a-robust-evidence-base\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2018\\\/06\\\/11\\\/managing-pain-in-children-developing-a-robust-evidence-base\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2018\\\/06\\\/11\\\/managing-pain-in-children-developing-a-robust-evidence-base\\\/\",\"name\":\"Managing pain in children: developing a robust evidence base - Evidence-Based Nursing blog\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2018\\\/06\\\/11\\\/managing-pain-in-children-developing-a-robust-evidence-base\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2018\\\/06\\\/11\\\/managing-pain-in-children-developing-a-robust-evidence-base\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/files\\\/2018\\\/05\\\/Screen-Shot-2018-05-13-at-09.35.15.png\",\"datePublished\":\"2018-06-11T08:00:32+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2018\\\/06\\\/11\\\/managing-pain-in-children-developing-a-robust-evidence-base\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2018\\\/06\\\/11\\\/managing-pain-in-children-developing-a-robust-evidence-base\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2018\\\/06\\\/11\\\/managing-pain-in-children-developing-a-robust-evidence-base\\\/#primaryimage\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/files\\\/2018\\\/05\\\/Screen-Shot-2018-05-13-at-09.35.15.png\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/files\\\/2018\\\/05\\\/Screen-Shot-2018-05-13-at-09.35.15.png\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/2018\\\/06\\\/11\\\/managing-pain-in-children-developing-a-robust-evidence-base\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Managing pain in children: developing a robust evidence base\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/\",\"name\":\"Evidence-Based Nursing blog\",\"description\":\"Analysis and discussion of developments in Evidence-Based Nursing.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/#organization\",\"name\":\"Evidence-Based Nursing blog\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/files\\\/2018\\\/04\\\/blog-logo-ebn.png\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/files\\\/2018\\\/04\\\/blog-logo-ebn.png\",\"width\":289,\"height\":34,\"caption\":\"Evidence-Based Nursing blog\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/#\\\/schema\\\/logo\\\/image\\\/\"}},{\"@type\":\"Person\",\"@id\":\"\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/ebn\\\/author\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Managing pain in children: developing a robust evidence base - Evidence-Based Nursing blog","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/ebn\/2018\/06\/11\/managing-pain-in-children-developing-a-robust-evidence-base\/","og_locale":"en_US","og_type":"article","og_title":"Managing pain in children: developing a robust evidence base - Evidence-Based Nursing blog","og_description":"Dr Joanna Smith, Associate Professor, Child Nursing, University\u00a0of Leeds, UK Advances in our knowledge on the safe and effective use of analgesia in children have increased over the past decade.\u00a0A recent EBN commentary that reviewed a randomised controlled trail on the effectiveness of oral morphine compared to ibuprofen administered at home for postoperative orthopaedic pain [...]Read More...","og_url":"https:\/\/blogs.bmj.com\/ebn\/2018\/06\/11\/managing-pain-in-children-developing-a-robust-evidence-base\/","og_site_name":"Evidence-Based Nursing blog","article_published_time":"2018-06-11T08:00:32+00:00","og_image":[{"url":"https:\/\/blogs.bmj.com\/ebn\/files\/2018\/05\/Screen-Shot-2018-05-13-at-09.35.15.png","type":"","width":"","height":""}],"twitter_card":"summary_large_image","twitter_misc":{"Written by":"","Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/ebn\/2018\/06\/11\/managing-pain-in-children-developing-a-robust-evidence-base\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/ebn\/2018\/06\/11\/managing-pain-in-children-developing-a-robust-evidence-base\/"},"author":{"name":"","@id":""},"headline":"Managing pain in children: developing a robust evidence base","datePublished":"2018-06-11T08:00:32+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/ebn\/2018\/06\/11\/managing-pain-in-children-developing-a-robust-evidence-base\/"},"wordCount":206,"commentCount":0,"publisher":{"@id":"https:\/\/blogs.bmj.com\/ebn\/#organization"},"image":{"@id":"https:\/\/blogs.bmj.com\/ebn\/2018\/06\/11\/managing-pain-in-children-developing-a-robust-evidence-base\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/ebn\/files\/2018\/05\/Screen-Shot-2018-05-13-at-09.35.15.png","keywords":["Child Health","Pain Management"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/ebn\/2018\/06\/11\/managing-pain-in-children-developing-a-robust-evidence-base\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/ebn\/2018\/06\/11\/managing-pain-in-children-developing-a-robust-evidence-base\/","url":"https:\/\/blogs.bmj.com\/ebn\/2018\/06\/11\/managing-pain-in-children-developing-a-robust-evidence-base\/","name":"Managing pain in children: developing a robust evidence base - Evidence-Based Nursing blog","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/ebn\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blogs.bmj.com\/ebn\/2018\/06\/11\/managing-pain-in-children-developing-a-robust-evidence-base\/#primaryimage"},"image":{"@id":"https:\/\/blogs.bmj.com\/ebn\/2018\/06\/11\/managing-pain-in-children-developing-a-robust-evidence-base\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/ebn\/files\/2018\/05\/Screen-Shot-2018-05-13-at-09.35.15.png","datePublished":"2018-06-11T08:00:32+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/ebn\/2018\/06\/11\/managing-pain-in-children-developing-a-robust-evidence-base\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/ebn\/2018\/06\/11\/managing-pain-in-children-developing-a-robust-evidence-base\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/ebn\/2018\/06\/11\/managing-pain-in-children-developing-a-robust-evidence-base\/#primaryimage","url":"https:\/\/blogs.bmj.com\/ebn\/files\/2018\/05\/Screen-Shot-2018-05-13-at-09.35.15.png","contentUrl":"https:\/\/blogs.bmj.com\/ebn\/files\/2018\/05\/Screen-Shot-2018-05-13-at-09.35.15.png"},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/ebn\/2018\/06\/11\/managing-pain-in-children-developing-a-robust-evidence-base\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/ebn\/"},{"@type":"ListItem","position":2,"name":"Managing pain in children: developing a robust evidence base"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/ebn\/#website","url":"https:\/\/blogs.bmj.com\/ebn\/","name":"Evidence-Based Nursing blog","description":"Analysis and discussion of developments in Evidence-Based Nursing.","publisher":{"@id":"https:\/\/blogs.bmj.com\/ebn\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/ebn\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/ebn\/#organization","name":"Evidence-Based Nursing blog","url":"https:\/\/blogs.bmj.com\/ebn\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/ebn\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/ebn\/files\/2018\/04\/blog-logo-ebn.png","contentUrl":"https:\/\/blogs.bmj.com\/ebn\/files\/2018\/04\/blog-logo-ebn.png","width":289,"height":34,"caption":"Evidence-Based Nursing blog"},"image":{"@id":"https:\/\/blogs.bmj.com\/ebn\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"","url":"https:\/\/blogs.bmj.com\/ebn\/author\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/ebn\/wp-json\/wp\/v2\/posts\/1427","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/ebn\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/ebn\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/ebn\/wp-json\/wp\/v2\/users\/177"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/ebn\/wp-json\/wp\/v2\/comments?post=1427"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/ebn\/wp-json\/wp\/v2\/posts\/1427\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/ebn\/wp-json\/wp\/v2\/media?parent=1427"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/ebn\/wp-json\/wp\/v2\/categories?post=1427"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/ebn\/wp-json\/wp\/v2\/tags?post=1427"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}