TY - JOUR T1 - <span hwp:id="article-title-1" class="article-title">Intranasal fentanyl and intravenous morphine did not differ for pain relief in children with closed long-bone fractures</span><span hwp:id="article-title-2" class="sub-article-title">Commentary</span> JF - Evidence Based Nursing JO - Evid Based Nurs SP - 42 LP - 42 DO - 10.1136/ebn.11.2.42 VL - 11 IS - 2 AU - Jennifer Yost Y1 - 2008/04/01 UR - http://ebn.bmj.com/content/11/2/42.abstract N2 - M BorlandM Borland, Princess Margaret Hospital for Children, Subiaco, Western Australia, Australia; meredith.borland@health.wa.gov.auIn children presenting to the emergency department (ED) with acute long-bone fractures, is intranasal fentanyl equivalent to intravenous (IV) morphine for pain control?Design:randomised controlled trial.Allocation:{concealed}.*Blinding:blinded (patients, {clinicians, data collectors, outcome assessors, data analysts, and monitoring committee}*).Follow-up period:30 minutes after initial analgesic administration.Setting:tertiary paediatric ED in a hospital in Australia.Patients: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.Intervention:33 patients were given intranasal fentanyl (weight-determined initial dose: 21–30 kg, 30 µg; 31–40 kg, 45 µg; 41–50 kg, … ER -