"Widely available ibuprofen is a better choice for pain relief in children who have undergone minor orthopedic outpatient surgery as it has fewer adverse effects compared with oral morphine according to results from a clinical trial http published in CMAJ Canadian Medical Association Journal. This result suggests that adequate pain management should be an important goal of care even after minor outpatient surgery and that more effective pharmacologic and nonpharmacologic strategies should be explored writes Dr. Naveen Poonai Clinician Scientist Lawson Health Research Institute and Associate Professor Emergency Medicine Department of Paediatrics Schulich School of Medicine  Dentistry Western University with coauthors. The study included  children aged  to  years who underwent minor orthopedic surgery such as keyhole surgery on joints ligament and tendon repair suture or hardware removal at London Health Sciences Centre in London Ontario. In the first  hours more than  of the children in the study needed pain relief at home. Pain scores for children in both the oral morphine and ibuprofen groups were similar but the children receiving oral morphine reported more adverse effects such as nausea vomiting drowsiness dizziness and constipation. Morphine did not provide superior analgesia but was associated with significantly more adverse effects making ibuprofen a better analgesic option write the authors. They note that as neither treatment completely relieved pain more research is needed into effective pain relief especially for more severe pain. Oral morphine use at home has not been previously studied in children who have had minor surgery nor has it been compared with ibuprofen.  The study was conducted by researchers from London Health Sciences Centre Schulich School of Medicine  Dentistry Western University London Ontario Women and Childrens Health Research Institute University of Alberta Edmonton Alberta and Childrens Hospital of Wisconsin Milwaukee Wisconsin. Oral morphine versus ibuprofen administered at home for postoperative orthopedic pain in children a randomized controlled trial is published October  ."