Ibuprofen or Naproxyn is Head or muscular skeletal trauma

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Most neurosurgeons I know worry about the anti-platelet effects of NSAIDs in
any situation where there is potential for intracranial bleeding and
haematoma formation/enlargement. I know of no evidence for this, but there
is probably some case report somewhere associating the two.

My paediatric colleagues regularly use paracetamol (acetaminophen) in young
children. The dose is 20 mg/kg po or iv. They would look at me blankly if I
suggested problems with liver clearance.

If you want to look up the recommendations here in the UK try:
www.bnf.org.uk. I do not know how this differs from what the FDA say.

Guy Jackson
London, UK.


----- Original Message ----- 
From: "Charlene M Morris" <cvmmorris at gmail.com>
To: "Trauma &amp, Critical Care mailing list" <trauma-list at trauma.org>
Sent: Monday, September 04, 2006 7:42 PM
Subject: Ibuprofen or Naproxyn is Head or muscular skeletal trauma


> Having worked in medicine for over two decades, I was intruiged that one
doc
> with whom I work stated that NSAIDs are not to be used for children with
> head injuries or obvious contusions. He advised stayed with
Acetimenophen--
> despite the obvious liver clearance issues.
>
> He also stated irrefutably that ibuprofen is not to be used in babies
under
> 6 months old, even if weight requirements are met.
>
> I would really like opinions on these issues from this very erudite forum.
>
> C M Morris
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/traumalist.html
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