Evid Based Nurs 11:42 doi:10.1136/ebn.11.2.42
  • Treatment

Intranasal fentanyl and intravenous morphine did not differ for pain relief in children with closed long-bone fractures

M Borland

M Borland, Princess Margaret Hospital for Children, Subiaco, Western Australia, Australia;


In children presenting to the emergency department (ED) with acute long-bone fractures, is intranasal fentanyl equivalent to intravenous (IV) morphine for pain control?



randomised controlled trial.




blinded (patients, {clinicians, data collectors, outcome assessors, data analysts, and monitoring committee}*).

Follow-up period:

30 minutes after initial analgesic administration.


tertiary paediatric ED in a hospital in Australia.


67 patients 7–15 years of age (mean age 11 y, 79% with fractures of the radius or ulna), who presented to the ED with clinically deformed, closed, long-bone fractures. Exclusion criteria were narcotic analgesia within 4 hours of arrival, significant head injury, allergy to opiates, nasal blockage or trauma, and inability to perform pain scoring.


33 patients were given intranasal fentanyl (weight-determined initial dose: 21–30 kg, 30 µg; 31–40 kg, 45 µg; 41–50 kg, …

No Related Web Pages

Free Sample

This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of EBN.
View free sample issue >>

EBN Journal Chat

The EBN Journal Chat offers readers the opportunity to participate in discussion about research articles and commentaries from Evidence Based Nursing (EBN).

How to participate >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

Navigate This Article