Question of the Month - February 2020 - Society for Pediatric Pain Medicine

Elizabeth Pedigo, MD
Assistant Professor,
Doernbecher Children's Hospital at Oregon Health & Science University

There is a new otolaryngologist at your hospital and you are the anesthesiologist assigned to work with her. After your first case, which happens to be an adenotonsillectomy in a four year-old male with OSA, she asks you what dose of tramadol she should write for as an analgesic for the child to take at home. Which of the following is incorrect:

A. The appropriate dose for this patient is 3-4 mg/kg/ dose every six hours as needed

B. Tramadol is contraindicated in children less than 12 years old

C. Tramadol is contraindicated in children less than 12 years old

D. If a patient is prescribed tramadol, all other medications he or she is taking must be reviewed

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Question of the Month – February 2020

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