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Comment & Response
June 2, 2021

Concerns About Pediatric Opioid Prescribing Guidelines

Author Affiliations
  • 1Department of Anesthesiology, Perioperative Medicine, and Pain Management, Stanford University School of Medicine, Stanford, California
  • 2Division of Pain Management, Department of Anesthesia, Cincinnati Children’s Hospital, Cincinnati, Ohio
  • 3Anesthesia & Pediatrics, University of Iowa Hospitals & Clinics, Iowa City
  • 4Pediatric Pain Services, University of Iowa Stead Family Children’s Hospital, Iowa City
  • 5Faculty Affairs & Development, Department of Anesthesia, University of Iowa Carver College of Medicine, Iowa City
JAMA Surg. 2021;156(9):892. doi:10.1001/jamasurg.2021.2084

To the Editor We read with great interest the article by Kelley-Quon et al1 and commend the authors for creating these guidelines and applaud recommendations to minimize opioid use while using regional anesthesia and nonpharmacologic techniques as appropriate.1 However, as members and representatives of the Society for Pediatric Pain Medicine, a section of the Society for Pediatric Anesthesia, we must express concern with the undue emphasis on avoiding opioids altogether, an approach not supported in the current literature.1,2

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