Prehospital smertelindring av barn

The purpose of this Bachelor thesis is to investigate if the use of intranasal fentanyl (INF) can be a substitute for intravenous morphine (IVM) when giving pain relief to children with acute pain in a prehospital setting. To investigate this, our thesis is conducted as a literary review. We have found six articles through systematic and unsystematic searches done in the databases Medline and Cinahl. The six articles are from different research investigating the use of INF and IVM, mainly on children both in prehospital care and emergency departments. These articles will be used to try to answer the question «Prehospital use of fentanyl intranasal may be an alternative to using intravenous morphine for pain relief on children with acute pain». The studies show that there is little difference in side effects and analgesic effect. A number of the studies found that use of INF instead of IVM reduces time spent before administration of the first analgesic drug. In the comparison of the different drugs and forms of administration, we have examined side effects, analgesic effect and time before first dose of the chosen analgesic drug is administrated. This Bachelor thesis concludes that INF has about the same side effect profile as IVM, has similar analgesic effect and that the first dose of INF can be given faster than IVM. The preference of INF is founded on the expectation that there exists no other need for an IV access