Pain after tonsillectomy: effectiveness of current guidelines?

European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
Y WalraveF De la Brière

Abstract

Tonsillectomy is one of the most common major surgical procedures performed in children. In 2013, the use of codeine in children was severely restricted. French guidelines for treating tonsillectomy's postoperative pain at home have been reconsidered OBJECTIVE: The aim of our study was to measure effectiveness and safety of two schedules: acetaminophen + ibuprofen (A + I) and acetaminophen + tramadol (A + T) in children who underwent tonsillectomy. We undertook a 1 year prospective and observational single-center study. All children who underwent tonsillectomy were eligible. The choice of the regimen, A + I group or A + T group, was left for the anesthesiologist in charge, done during the pre-anesthetic assessment. After hospital discharge, parents had to give systematically A + I or A + T, 4 times a day during 5 days and then acetaminophen alone for the next 5 days The primary endpoint was the home pain assessed using Parents' Postoperative Pain Measurement Short Form (PPPM-SF) scale. Secondary endpoints were the rate of further hospitalization and/or surgery due to tonsillectomy-related adverse events. Over the study period, 342 tonsillectomies were performed. The return rate of PPPM-SF scales was 58%. Two hundred patients we...Continue Reading

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Citations

Feb 13, 2018·Current Opinion in Anaesthesiology·Catherine E FerlandPablo M Ingelmo
Aug 18, 2018·Paediatric Anaesthesia·Jacqueline A HannamAmanda Potts
Feb 6, 2020·Pain Practice : the Official Journal of World Institute of Pain·Georgia G TsaousiChryssa Pourzitaki
May 11, 2019·Ear, Nose, & Throat Journal·Ana JotićMilica Prostran
Feb 7, 2021·International Journal of Pediatric Otorhinolaryngology·William T BascoSarah J Ball
Apr 7, 2021·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Samantha AnneTaskin M Monjur

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