From
StayCurrentMD
Addressing the Opioid Crisis: 2018 Pediatric Surgery Practice Gap #1
With Dr. Todd Ponsky
Part of
Pain 4 items
Chapter 1 of 2 · Evidence & Research
Opioid recommendations
Opioid Crisis as Top Practice Gap and Clinical Recommendations
Expert statements on this page
No expert statements were drawn from this page.
Host summaries · secondary, not cited in answers
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
Video
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Opioid over prescription: Practice Gap discussion at Update Course 2018
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1 min · Published Sep 2026
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50 s · Published Sep 2026
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What the experts said
The first recommendation is to reduce the total amount of opioids prescribed.
Studies show that opioids are not needed for incision and drainages or for breast biopsies.
The second recommendation is to use non-opioid analgesics, which work really well in kids.
Tylenol plus NSAIDs like Motrin are equally as effective as narcotics in children.
The third recommendation is to use non-pharmacological approaches including heat or warmth, meditation, and deep breathing, which significantly reduce pain.
The fourth recommendation is to educate patients on the disposal of unused drugs.
Unused opioid drugs are staying at home and being found by kids or other family members, contributing to the opioid epidemic.
Pediatric surgeons can contribute to identifying practice gaps by emailing think@apsa.org.
Worldwide participation in identifying practice gaps and education efforts will lead to drastic change.
The opioid crisis was identified as the most important practice gap and was very popular at the APSA conference in 2018.
