December 2018. Volume 14. Number 3

Morphine is not superior to ibuprofen for mild to moderate postoperative pain

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Poonai N, Datoo N, Ali S, Cashin M, Drendel AL, Zhu R, et al. Oral morphine versus ibuprofen administered at home for postoperative orthopedic pain in children: a randomized controlled trial. CMAJ. 2017; 189:E1252-E1258.

Reviewers: Martínez Rubio M.V1, Esparza Olcina MJ2.
1Pediatra. CS Los Fresnos. Torrejón de Ardoz. Madrid. España.
2Pediatra. CS Barcelona. Móstoles. Madrid. España.
Correspondence: María Victoria Martínez Rubio. Email: victmrubio@gmail.com
Reception date: 12/08/2018
Acceptance date: 03/10/2018
Publication date: 14/11/2018

Abstract

Authors’ conclusions: ibuprofen and morphine are both effective reducing postoperative pain after minor outpatient orthopedic surgery. There are not significant differences in effectiveness, but there are more adverse effects with morphine. Ibuprofen is a safer option as first line analgesic.

Reviewers’ commentary: there is no evidence that oral morphine is superior to ibuprofen for the treatment of mild postoperative pain, but there is evidence that it produces more adverse effects. Nevertheless, these findings could be not applicable to situations of moderate to severe pain.

How to cite this article

Martínez Rubio V, Esparza Olcina MJ. La morfina no es mejor que el ibuprofeno para el tratamiento del dolor posoperatorio leve o moderado. Evid Pediatr. 2018;14:34.

AVC | Critically appraised articles

Poonai N, Datoo N, Ali S, Cashin M, Drendel AL, Zhu R, et al. Oral morphine versus ibuprofen administered at home for postoperative orthopedic pain in children: a randomized controlled trial. CMAJ. 2017; 189:E1252-E1258.

Reviewers: Martínez Rubio M.V1, Esparza Olcina MJ2.
1Pediatra. CS Los Fresnos. Torrejón de Ardoz. Madrid. España.
2Pediatra. CS Barcelona. Móstoles. Madrid. España.
Correspondence: María Victoria Martínez Rubio. Email: victmrubio@gmail.com
Reception date: 12/08/2018
Acceptance date: 03/10/2018
Publication date: 14/11/2018

How to cite this article

Martínez Rubio V, Esparza Olcina MJ. La morfina no es mejor que el ibuprofeno para el tratamiento del dolor posoperatorio leve o moderado. Evid Pediatr. 2018;14:34.

14/11/2018

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