Pediatricians Say Codeine Is Not Safe For Children

Codeine is not safe to give to kids. The American Academy of Pediatrics issued a statement this week urging parents and doctors to stop giving children under the age of 18 both prescription and over-the-counter medications that include codeine, such as cough syrup and pain relievers.  “People have this very false misconception about codeine, thinking that it’s safer than other opioids,” Dr. Joseph Tobias, one of the study’s lead authors, told The Huffington Post. “Our whole push for writing this manuscript was to educate clinicians and push regulatory boards to pull codeine off the market for pediatric patients.” In a review article published in the October issue of Pediatrics which prompted the AAP’s statement, leading U.S. researchers found codeine to be linked to rare but life-threatening and fatal breathing reactions in children. The study highlighted U.S. Food and Drug Administration data on adverse effects of both codeine and combined codeine and acetaminophen medications. Adverse effects reported to the FDA included 64 cases of severe respiratory depression and 24 codeine-related deaths ― 21 of which were in children under 12 ― over a 50-year period. Despite this, codeine is still found in over-the-counter cough suppressants in 28 states and the District of Columbia. According to the AAP’s statement, 800,000 children under the age of 11 were prescribed codeine between 2007 and 2011. Ear, nose and t...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news

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Anesthesia, Sedation, and Pain Control
Source: Clinics in Perinatology - Category: Perinatology & Neonatology Source Type: research
We present a case of a patient with lateral knee pain and subjective instability sensation after a low-energy trauma secondary to a lateral meniscus tear, with absence of the PCL on MRI examination and thickened meniscofemoral ligaments, with anterior and superior insertion at the femur, in the footprint of PCL. The patient had a menisci repair, without PCL reconstruction. At the 6-month follow-up, the patient did not report any instability symptoms during his daily work and sports activities. There are therapeutic implications in distinguishing a chronic PCL tear from an aplasia, so it is important to detect some signs in...
Source: Skeletal Radiology - Category: Radiology Source Type: research
AbstractObjectiveTo investigate whether pathological changes in elbow epicondylopathy, as assessed by conventional ultrasonography and clinical outcomes, could be modified following tenotomy with platelet-rich plasma (PRP) versus tenotomy with lidocaine.MethodsThis prospective sub-study was part of a patient- and assessor-blinded, superiority-type, randomized, lidocaine-controlled trial that was performed in a tertiary hospital to assess the effectiveness of PRP versus lidocaine as tenotomy adjuvants in patients with epicondylopathy. Patients were followed after two sessions of tenotomy with either PRP or lidocaine adjuvan...
Source: Skeletal Radiology - Category: Radiology Source Type: research
AbstractObjectiveOur primary aim was to quantify the posterior tibial tendon (PTT) sheath fluid volume in individuals with the clinical diagnosis of stage 1 posterior tibial tendon dysfunction (PTTD) and no MRI-detectable intra-substance tendon pathology and compare them with patients with other causes of medial ankle pain, also without MRI-detectable intra-substance PTT pathology and with normal controls. We also wanted to determine if there is a fluid measurement that correlates with the clinical diagnosis of PTTD.Materials and MethodsA total of 326 individuals with medial ankle pain and no intra-substance PTT pathology ...
Source: Skeletal Radiology - Category: Radiology Source Type: research
AbstractObjectivesTo evaluate lesion filling and other factors that could affect the clinical outcomes of cementoplasty for pelvic bone metastases.MethodsWe retrospectively reviewed the files of 40 patients treated for 44 pelvic bone metastases, collected the parameters related to patients (pain relief evaluated on a visual analog scale, subsequent fractures, and need for surgery), lesions (size, cortical breach score, fracture, soft-tissue extension), and cementoplasty procedures (number of needles, volume of cement, percentage of lesion filling, cement leaks, residual acetabular roof defect), and performed a statistical ...
Source: Skeletal Radiology - Category: Radiology Source Type: research
AbstractPathology of the fascia lata attachment at the iliac crest (FLAIC) is an under-recognized and often misdiagnosed cause of lateral hip pain. The fascia lata has a broad attachment at the lateral iliac crest with contributions from the tensor fascia lata muscle, the iliotibial band, and the gluteal aponeurosis. The FLAIC is susceptible to overuse injuries, acute traumatic injuries, and degeneration. There is a paucity of literature regarding imaging and image-guided treatment of the FLAIC. We review anatomy and pathology of the FLAIC, presenting novel high-resolution (18 –24 MHz) ultrasound images includin...
Source: Skeletal Radiology - Category: Radiology Source Type: research
I received a resume from a prospective PA candidate who completed this doctoral PA program. Interview or not?? https://www.lynchburggradstudies.com/lcdmsc?fbclid=IwAR1vWZiY2AdUwV_L-9RnlzSyNS4V-YWZnVeaGSlX6kfyte_L_igXOGiuihw
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
Recent article of unilateral vs bilateral approach.......Have utilized a unilateral approach for several years now. Do you unilateral or bilateral? What is your average pressure?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
ABSTRACT Objective: To investigate how symptoms vary according to the appendiceal position in pediatric patients and to demonstrate that the laparoscopic approach is safe and effective in any appendiceal location by comparing each location to another. Methods: The medical records of 1,736 children aged 14 or younger who underwent laparoscopic appendectomy over a period of 14 years were analyzed retrospectively. Patients were divided according to the position of the appendiceal tip into four groups: anterior, pelvic, retrocecal and subhepatic. The Kruskal-Wallis and chi-square tests were used with the Bonferroni correction,...
Source: Revista Paulista de Pediatria - Category: Pediatrics Source Type: research
After a fairly slow 2016, the United States Food and Drug Administration’s (FDA) Office of Prescription Drug Promotion (OPDP) issued a quick burst of letters in the span of nine days in December. This flurry of activity more than doubled the enforcement letters that had been issued up to that point in the year. Although there was an apparent increase in enforcement activity in December (perhaps related to the new Administration and the mark the old Administration wanted to leave on the industry), the type of activity and the nature of Draft Guidances issued in 2017 prior to the Trump Administration taking office ind...
Source: Policy and Medicine - Category: American Health Authors: Source Type: blogs
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