Buprenorphine versus Morphine in Paediatric Acute Pain: A Systematic Review and Meta-Analysis
Joint Authors
Murray, Nathan
Malla, Utsav
Vlok, Ruan
Scott, Alice
Chua, Olivia
Melhuish, Thomas
White, Leigh
Source
Critical Care Research and Practice
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-08-07
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction.
In lab-based studies, buprenorphine appears to have a ceiling effect on respiratory depression but not on analgesia.
There is increasing evidence in adult patients that buprenorphine has no ceiling effect on analgesia or side effects.
The aim of this study was to investigate the efficacy and adverse effects of buprenorphine versus morphine in paediatric acute pain.
Methods.
A systematic review of five databases was performed until May 2018.
Only randomised controlled trials were eligible for inclusion.
The outcomes of interest included pain, respiratory depression, nausea, sedation, dizziness, and pruritus.
Results.
Four randomised controlled trials (n=195) were included.
The only outcome measuring analgesic efficacy was time to breakthrough analgesia.
Buprenorphine had a significant increase in time to breakthrough analgesia by 114.98 minutes compared to morphine (95% CI = 42.94 to 187.01; I2 = 0; p=0.002).
There was no significant difference in the rates of adverse effects.
Conclusions.
Buprenorphine provided a longer duration of analgesia than morphine.
This in combination with its unique sublingual preparation could prove particularly advantageous in the paediatric population.
The studies included are likely underpowered to detect differences in the incidence of adverse effects; therefore, the same precautions should be taken as with any other opioid.
American Psychological Association (APA)
Murray, Nathan& Malla, Utsav& Vlok, Ruan& Scott, Alice& Chua, Olivia& Melhuish, Thomas…[et al.]. 2018. Buprenorphine versus Morphine in Paediatric Acute Pain: A Systematic Review and Meta-Analysis. Critical Care Research and Practice،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1130429
Modern Language Association (MLA)
Murray, Nathan…[et al.]. Buprenorphine versus Morphine in Paediatric Acute Pain: A Systematic Review and Meta-Analysis. Critical Care Research and Practice No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1130429
American Medical Association (AMA)
Murray, Nathan& Malla, Utsav& Vlok, Ruan& Scott, Alice& Chua, Olivia& Melhuish, Thomas…[et al.]. Buprenorphine versus Morphine in Paediatric Acute Pain: A Systematic Review and Meta-Analysis. Critical Care Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1130429
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1130429