Effect of Introducing the Mucosal Atomization Device for Fentanyl Use in Out-of-Hospital Pediatric Trauma Patients

Pain associated with pediatric trauma is often under-assessed and under-treated in the out-of-hospital setting. Administering an opioid such as fentanyl via the intranasal route is a safe and efficacious alternative to traditional routes of analgesic delivery and could potentially improve pain manag...

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Bibliographic Details
Published in:Prehospital and disaster medicine 2013-10, Vol.28 (5), p.520-522
Main Authors: O'Donnell, Daniel P., Schafer, Luke C., Stevens, Andrew C., Weinstein, Elizabeth, Miramonti, Charles M., Kozak, Mary Ann
Format: Article
Language:English
Subjects:
Administration, Intranasal - instrumentation
Adolescent
Analgesics
Analgesics, Opioid - administration & dosage
Brief Report
Child
Child, Preschool
Children & youth
Drug delivery systems
Emergency Medical Services
Emergency services
Female
Fentanyl - administration & dosage
Health technology assessment
Humans
Indiana
Infant
Male
Nebulizers and Vaporizers
Pain
Pain management
Retrospective Studies
Trauma
Wounds and Injuries
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Summary:Pain associated with pediatric trauma is often under-assessed and under-treated in the out-of-hospital setting. Administering an opioid such as fentanyl via the intranasal route is a safe and efficacious alternative to traditional routes of analgesic delivery and could potentially improve pain management in pediatric trauma patients. The study sought to examine the effect of introducing the mucosal atomization device (MAD) on analgesia administration as an alternative to intravenous fentanyl delivery in pediatric trauma patients. The hypothesis for the study is that the introduction of the MAD would increase the administration of fentanyl in pediatric trauma patients. The research utilized a 2-group design (pre-MAD and post-MAD) to study 946 pediatric trauma patients (age
ISSN:1049-023X
1945-1938
DOI:10.1017/S1049023X13003579