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Postoperative pain, pain management, and recovery at home after pediatric tonsil surgery
PURPOSE: To explore the severity and duration of postoperative pain, the management of analgesics, and postoperative recovery in children undergoing tonsil surgery. METHOD: Participants included 299 children aged 4–17 years undergoing tonsillotomy ± adenoidectomy (TT ± A) or tonsillectomy ± adenoide...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7826305/ https://www.ncbi.nlm.nih.gov/pubmed/32980893 http://dx.doi.org/10.1007/s00405-020-06367-z |
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author | Alm, Fredrik Lundeberg, Stefan Ericsson, Elisabeth |
author_facet | Alm, Fredrik Lundeberg, Stefan Ericsson, Elisabeth |
author_sort | Alm, Fredrik |
collection | PubMed |
description | PURPOSE: To explore the severity and duration of postoperative pain, the management of analgesics, and postoperative recovery in children undergoing tonsil surgery. METHOD: Participants included 299 children aged 4–17 years undergoing tonsillotomy ± adenoidectomy (TT ± A) or tonsillectomy ± adenoidectomy (TE ± A). Data were collected up to 12 days. The child rated pain on the Face Pain Scale-Revised (FPS-R) and recovery using the Postoperative Recovery in Children (PRiC) questionnaire. Caregivers assessed their child's pain, anxiety, and nausea on a numeric analog scale and kept a log of analgesic administration. RESULTS: High pain levels (FPS-R ≥ 4) were reported in all surgical and age groups (TT ± A age 4–11, TE ± A age 4–11, TE ± A age 12–17), but there were variations in pain intensity and duration within and between groups. The TE ± A group scored more days with moderate to very excruciating pain and lower recovery than the TT ± A group, with the worst outcomes reported by older TE ± A children. The majority of the children used paracetamol + COX-inhibitors at home, but regular administration of analgesics was lacking, particularly during late evening and at night. Few were received rescue medication (opioid or clonidine) despite severe pain. Physical symptoms and daily life activities were affected during the recovery period. There was moderate agreement between child and the caregiver’s pain assessment scores. CONCLUSION: Children reported a troublesome recovery with significant postoperative pain, particularly older children undergoing tonsillectomy. Pain treatment at home was suboptimal and lacked regular analgesic administration. Patient information needs to be improved regarding the importance of regular administration of analgesics and rescue medication. |
format | Online Article Text |
id | pubmed-7826305 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-78263052021-02-11 Postoperative pain, pain management, and recovery at home after pediatric tonsil surgery Alm, Fredrik Lundeberg, Stefan Ericsson, Elisabeth Eur Arch Otorhinolaryngol Laryngology PURPOSE: To explore the severity and duration of postoperative pain, the management of analgesics, and postoperative recovery in children undergoing tonsil surgery. METHOD: Participants included 299 children aged 4–17 years undergoing tonsillotomy ± adenoidectomy (TT ± A) or tonsillectomy ± adenoidectomy (TE ± A). Data were collected up to 12 days. The child rated pain on the Face Pain Scale-Revised (FPS-R) and recovery using the Postoperative Recovery in Children (PRiC) questionnaire. Caregivers assessed their child's pain, anxiety, and nausea on a numeric analog scale and kept a log of analgesic administration. RESULTS: High pain levels (FPS-R ≥ 4) were reported in all surgical and age groups (TT ± A age 4–11, TE ± A age 4–11, TE ± A age 12–17), but there were variations in pain intensity and duration within and between groups. The TE ± A group scored more days with moderate to very excruciating pain and lower recovery than the TT ± A group, with the worst outcomes reported by older TE ± A children. The majority of the children used paracetamol + COX-inhibitors at home, but regular administration of analgesics was lacking, particularly during late evening and at night. Few were received rescue medication (opioid or clonidine) despite severe pain. Physical symptoms and daily life activities were affected during the recovery period. There was moderate agreement between child and the caregiver’s pain assessment scores. CONCLUSION: Children reported a troublesome recovery with significant postoperative pain, particularly older children undergoing tonsillectomy. Pain treatment at home was suboptimal and lacked regular analgesic administration. Patient information needs to be improved regarding the importance of regular administration of analgesics and rescue medication. Springer Berlin Heidelberg 2020-09-26 2021 /pmc/articles/PMC7826305/ /pubmed/32980893 http://dx.doi.org/10.1007/s00405-020-06367-z Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Laryngology Alm, Fredrik Lundeberg, Stefan Ericsson, Elisabeth Postoperative pain, pain management, and recovery at home after pediatric tonsil surgery |
title | Postoperative pain, pain management, and recovery at home after pediatric tonsil surgery |
title_full | Postoperative pain, pain management, and recovery at home after pediatric tonsil surgery |
title_fullStr | Postoperative pain, pain management, and recovery at home after pediatric tonsil surgery |
title_full_unstemmed | Postoperative pain, pain management, and recovery at home after pediatric tonsil surgery |
title_short | Postoperative pain, pain management, and recovery at home after pediatric tonsil surgery |
title_sort | postoperative pain, pain management, and recovery at home after pediatric tonsil surgery |
topic | Laryngology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7826305/ https://www.ncbi.nlm.nih.gov/pubmed/32980893 http://dx.doi.org/10.1007/s00405-020-06367-z |
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