Evidence-Based Guidelines for Opioid Therapy in Pediatrics

  • See Wan ThamEmail author
  • Cornelius B. Groenewald
  • Gary A. Walco


Ongoing national efforts to curb the opioid overdose epidemic have resulted in the development and implementation of national guidelines (e.g., Center for Disease Control and Prevention Guideline for Prescribing Opioids for Chronic Pain). This has had a downstream effect onto pediatric practice. However, the scope of problematic opioid prescribing and etiology of misuse/abuse in children and adolescents remain unclear. This raises concerns regarding the application of guidelines intended for the adult population onto pediatric practice. In this chapter, we examine the epidemiologic data of pediatric opioid prescribing patterns to understand the scope of the problem and present available practice guidelines for treatment of chronic non-malignant pain as applied to children and adolescents. Finally, we review the efforts in the State of Washington, which has been on the forefront of legislation to address opioid-related deaths to exemplify the concerns regarding federal and state regulatory interventions.


Opioids Children Adolescents Evidence-based guidelines 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • See Wan Tham
    • 1
    Email author
  • Cornelius B. Groenewald
    • 1
  • Gary A. Walco
    • 1
  1. 1.Anesthesiology and Pain MedicineSeattle Children’s HospitalSeattleUSA

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