Do you happen to have information I can read to support your case?
You would need to look at various clinical papers available through MedLine.
The facts are:
Opioids are very simple molecules compared with most prescription drugs. Their uptake by the body ids simple and requires no internal modulation.
Using non-enteral routes (by mouth) increases the availability as they by-pass the liver which lifts out a great deal of the opioid on first pass before it reaches the rest of the body.
Opiods are sedative and Hypnotic and depend on blood concentrations that depend on body weight and so need to be carefully titrated to avoid under or over dosage. Administration is quickest intra-venously, then intra muscularly, then rectally, then buccally, then transdermally. Administration of a large initial dose in any case lifts blood levels quickly- using a large adult patch on a small child would bring opiod levels in the blood very quickly to therapeutic and possibly toxic levels (the patches come with strong warnings to keep them away from children.)
All of the above can probably be googled for in various places, but obviously there will not be a 'how to sedate a child with patches' page!
There are several other methods to quickly sedate a child, but I am reluctant to share them for obvious reasons.
