Naloxegol for Treatment of Opioid-Induced Constipation in the Pediatric Intensive Care Unit
| Autor: | Ethan L. Gillett, Clint A. Layes, Lee Crawley, Stephen M. Schexnayder |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Clinical Pediatrics. :000992282211421 |
| ISSN: | 1938-2707 0009-9228 |
| DOI: | 10.1177/00099228221142129 |
| Popis: | Opioid-induced constipation is a common problem in critically ill children requiring sedation. Naloxegol is an oral U.S. Food and Drug Administration (FDA)-approved peripherally acting mu-opioid receptor antagonist for chronic opioid-induced constipation use in adults, but data on its use in children are lacking. We performed a retrospective analysis of critically ill children that had received naloxegol for opioid-induced constipation at our institution. Of the 45 patients studied, mean stool frequency increased significantly from 0.63 ± 0.12 stools per day to 1.71 ± 0.13 stools per day after starting naloxegol (95% confidence interval [CI]: [0.75, 1.4], P < .001). There was no significant difference in the mean Withdrawal Assessment Tool 1 (WAT-1) score in the 24 hours before and after receiving the first dose (95% CI: [-0.25, 0.40], P = .63). This suggests naloxegol is effective in increasing stool output in critically ill children receiving opioids without an increase in opioid-withdrawal symptoms. It may be an effective adjunctive therapy for this population. |
| Databáze: | OpenAIRE |
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