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Thu Sep 7 10:59:33 BST 2006

ok, that stands, but what is the incidence of Reyes sy? but sure, when there
is paracetamol why use any other drugs? we never recommend acetylsalicylic
acid for patients under 18, even some say under 12. but l recommend daily
diclofenac per rectum for high fever combined with pain, or without of it.
for small kids its 12,5 mg every 8 hours until fever goes down.
ante

2006/9/7, Hardcastle, Tim, Dr <tch at sun.ac.za> <tch at sun.ac.za>:
>
> International pharmacology concensus:
>
> Rather paracetamol than other NSAID's in children due to the incidence of
> Reye Syndrome which leads to fatal hepatic failure and encephalopathy.
>
> Tim
> Dr T C Hardcastle
> M.B.,Ch.B.(Stell); M.Med(Chir); FCS(SA)
> Senior Surgeon / Senior Lecturer: Surgery (Trauma and ICU)
> ATLS  instructor and DSTC Cape Town Course Director
> Intern program Coordinator: Surgery
> Program Manager: Emergency Medicine (SU)
> Clinical Head (Director): Diana Princess of Wales Trauma Unit
> Department of Surgery Room 4064
> Tygerberg Hospital / University of Stellenbosch
> PO Box 19063
> Tygerberg 7505
> Western Cape
> South Africa
> e-mail: tch at sun.ac.za
> Cell: +27824681615
> Office: +27219389281 or 4911 pager 0302
>
>
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org
> [mailto:trauma-list-bounces at trauma.org]On Behalf Of Charlene M Morris
> Sent: Thursday, September 07, 2006 5:47 AM
> To: Trauma &amp, Critical Care mailing list
> Subject: Re: Ibuprofen or Naproxyn is Head or muscular skeletal trauma
>
>
> For children?!
>
> CMM
>
>
> On 9/6/06, Jago Miloguz <japrak at gmail.com> wrote:
> >
> > paracetamol rules, non problems with 'em, and even usage of diclofenac
> in
> > my
> > short clinical experience didn't show any complications, very good in
> > cases
> > where fever is combined with pain, per rc EXELLENT!
> >
> > 2006/9/5, Guy Jackson <r.g.m.jackson at qmul.ac.uk>:
> > >
> > > 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
> > > > --
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Ibuprofen or Naproxyn is Head or muscular skeletal trauma