Article Text

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

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

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, …

View Full Text


  • Source of funding: ACEM Morson Taylor Research Grant.