The Acute Pain Management Scientific Evidence 5th edition has been launched last month. The publication was put on hold with Covid in 2020. The literature search extends to August 2019 for the latest 5th edition. The amount of literature has expanded so much that the paediatric evidence summary was moved into its own volume 2. It is of use to anaesthetists and pain specialists looking after adults and children of all ages.
Volume 2 includes paediatric evidence base for neurobiology, pain assessment, all analgesics used in children, cancer pain, pain in trauma and burns, non-pharmacological therapies, procedural pain, regional and peripheral nerve interventions. It also has several new efficacy sections for atypical opioids, adjuvant analgesics, systemic local anaesthetic, and a separate topical subsection on discharge opioid prescribing (and risk of intentional and unintentional overdose, misuse and long term opioid use in children and adolescents). There are also now new paediatric chapters on obesity and complementary and alternative medicines and therapies.
Volume 2 can be used alone but is best read in conjunction with Volume 1 as there are still many situations where the adult data is larger or all that is available to inform paediatric intervention, as many analgesics remain unlicensed and less well studied in children. It is available in full as a downloadable pdf here.