Diuretics Children with congenital cardiac disease NIPPV Children with neuromuscular disease Children with central nervous system disorders and acute respiratory distress (41) Integrative and Self-hypnosis supportive in the therapies management of chronic dyspnoea in children (49, 50) Table 3: Symptomatic management of cough Management strategy Paediatric notes Recommendation study population Opioids No Evidence of benefit (54, Can be used for 55). No evidence that cough management. one opiate is better than In paediatrics, another or that adding an accepted practice is to additional opioid is use 25-50% of the helpful for children pain dose. already using opioids for pain. Dose evidence Consider trying lacking in children. approaches first, eg honey preparations or sodium cromoglycate
Diuretics Children with congenital cardiac disease NIPPV Children with neuromuscular disease Children with central nervous system disorders and acute respiratory distress (41) Integrative and supportive therapies Self-hypnosis in the management of chronic dyspnoea in children (49, 50) Table 3: Symptomatic management of cough Management strategy Paediatric study population notes Recommendation Opioids No Evidence of benefit (54, 55). No evidence that one opiate is better than another or that adding an additional opioid is helpful for children already using opioids for pain. Dose evidence lacking in children. Can be used for cough management. In paediatrics, accepted practice is to use 25-50% of the pain dose. Consider trying approaches first, eg honey preparations or sodium cromoglycate