BookRavi D. Shah, Santhanam Suresh, editors.
Contents:
Intro
Preface
Contents
Contributors
Part I: An Opioid Crisis with Pediatric Implications
Chapter 1: Epidemiology and Public Health Implications of the Opioid Crisis
Addiction and the Rise of the Opioid Epidemic
The Origins of the Contemporary Opioid Crisis
Health and Public Health Implications of the Opioid Epidemic
History of Addiction Treatment
Current Approach to Addiction Treatment
Medication for Opioid Use Disorder
Behavioral Health Treatment for Opioid Use Disorder
Special Populations
Pregnancy, Neonatal Abstinence Syndrome, and Breastfeeding Adolescents
Overdose Prevention and Harm Reduction
References
Chapter 2: The Impact of the Opioid Crisis on Neonates, Children, and Adolescents
Introduction
Neonatal Abstinence Syndrome
Epidemiology
Clinical Implications
Challenges of Caring for NAS Infants
Long-Term Outcomes
Opioid-Related Morbidity and Mortality in Children and Adolescents
Epidemiology of Hospitalizations for Pediatric Opioid Poisonings
Epidemiology of Fatal Pediatric Opioid Poisonings
Circumstances Surrounding Fatal Pediatric Opioid Poisonings
Pediatric and Adult Mortality Trends Implications of Adult and Teen Opioid Misuse on Young Children
Need for Pediatric-Specific Interventions and Further Research
Conclusions
References
Chapter 3: Legal Issues in Pediatric Opioid Therapy
How Can State and Federal Government Help with Opioid Misuse in the Pediatric Population?
Government Hierarchy
Food and Drug Administration
Current Initiatives
Drug Enforcement Agency
Centers for Disease Control
Prescription Drug Monitoring Programs
Prescribing Opioids, Informed Consent, and Minors
Consent for Opioid Prescribing Adolescents and Medication-Assisted Therapy (MAT)
Impact of Current Laws and Guidelines
Proposed Action Plan for Clinicians
References
Chapter 4: The Impetus for Recognizing, Preventing, and Treating Pain in the Pediatric Population
Introduction
Acute Pain
Pain in Neonates
Procedural Pain
Chronic Pain
Conclusions
References
Chapter 5: Evidence-Based Guidelines for Opioid Therapy in Pediatrics
Introduction
Patterns of Opioid Prescribing in Children and Adolescents in the United States Problematic Opioid Use Behaviors Following a Legitimate Opioid Prescription
Guidelines on Opioid Prescribing
Implications of Opioid Guidelines for Pediatric Pain Management
Efforts in State of Washington
References
Part II: Considerations for Safe Opioid Prescribing in Pediatrics
Chapter 6: Neonatal and Pediatric Pharmacology
Introduction
Potential Opioid-Drug Interactions
Polymorphism Impact on Opioid Analgesia and Adverse Effects
Obesity and Opioid Dosing
Opioid Clearance
Safety of Opioid Prescription
Morphine
Hydromorphone
Codeine
Hydrocodone