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Therapeutics/Prevention
Randomised controlled trial
Postfracture pain in children can be adequately managed with ibuprofen
  1. Kevin B L Lim
  1. Department of Orthopaedic Surgery, KK Women's and Children's Hospital, Singapore, Singapore
  1. Correspondence to : Professor Kevin B L Lim, Department of Orthopaedic Surgery, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899, Singapore; kevin.lim.BL{at}kkh.com.sg

https://doi.org/10.1136/ebmed-2015-110178

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    Commentary to: Poonai N, Bhullar G, Lin K, et al. Oral administration of morphine versus ibuprofen to manage postfracture pain in children: a randomized trial. CMAJ 2014;186:1358–63OpenUrlAbstract/FREE Full Text.

    Context

    Untreated or undertreated pain in children can have short-term and long-term problems.1 ,2 For fractures in children, it is widely accepted that the most severe pain occurs in the first 48 h postinjury. Following recent warnings from Health Canada on the safety of codeine,3 ,4 there has been an increased use of morphine and anti-inflammatory medication for postfracture pain. This study was carried out to compare the efficacy of the morphine with ibuprofen for fracture pain in children.

    Methods

    This randomised controlled trial was conducted in the paediatric emergency department at the Children's Hospital in London, Ontario. Children aged between 5 and17 years of age with a radiographically evident extremity fracture sustained in the preceding 24 h were invited …

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    Footnotes

    • Competing interests None.

    • Provenance and peer review Commissioned; internally peer reviewed.