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Postoperative pain tonsillectomy

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https://www.readbyqxmd.com/read/29776324/intraoperative-cryoanalgesia-for-reducing-post-tonsillectomy-pain-a-systemic-review
#1
Blake S Raggio, Blair M Barton, Maria C Grant, Edward D McCoul
OBJECTIVE: Summarize the effectiveness of intraoperative cryoanalgesia in the management of postoperative pain among patients undergoing palatine tonsillectomy. METHODS: A systematic review of PubMED, MEDLINE, EMBASE, Google Scholar, and Cochrane trial registries was performed through January 2017 using the PRISMA standards. We included English-language randomized controlled trials evaluating patients of all age groups with benign pathology who underwent tonsillectomy with cryoanalgesia versus without...
June 2018: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/29756342/safety-of-preoperative-ibuprofen-in-pediatric-tonsillectomy
#2
Alexander Michael, Farrel J Buchinsky, Glenn Isaacson
OBJECTIVE: Oral ibuprofen is believed to be safe and effective after pediatric adenotonsillectomy. There has been little study of its use as a preoperative analgesic. We attempt to document its safety in this setting. STUDY DESIGN: Individual case control study. METHODS: Children who underwent tonsillectomy or adenotonsillectomy from January 2013 to December 2015 did not receive preoperative ibuprofen. Those who underwent tonsillectomy or adenotonsillectomy from January 2016 to December 2017 received oral ibuprofen 7 mg/kg preoperatively...
May 14, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29741427/time-course-of-subacute-pain-after-transoral-robotic-surgery-tors-for-oropharyngeal-squamous-cell-carcinoma-versus-traditional-bilateral-tonsillectomy-in-adults-a-case-control-study
#3
Susanne Irene Scott, Anne Kathrine Østergaard Madsen, Niclas Rubek, Hani Ibrahim Channir, Henrik Kehlet, Christian von Buchwald
OBJECTIVE: To examine pain after Transoral Robotic Surgery (TORS) for oropharyngeal squamous cell carcinoma (OPSCC) versus traditional bilateral tonsillectomy in adults. METHODS: Pain evolvement was assessed in a prospective case-control design of 16 consecutive patients treated with TORS for early stage OPSCC versus 12 patients, who underwent bilateral tonsillectomy on suspicion of malignant disease. The TORS group received an optimized analgesia regime of preoperative oral celecoxib and gabapentin, intra- and postoperative high-dose intravenous dexamethasone, and regular postoperative oral contalgin, gabapentin, celecoxib, paracetamol and rescue morphine...
May 9, 2018: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29733506/a-comparison-of-intraoperative-hemostatic-techniques-during-tonsillectomy-suture-versus-electrocautery-a-study-to-assess-post-operative-pain-scores-and-duration-to-resumption-of-normal-diet
#4
Michele Cassano, Nuray Bayar Muluk, Francesco Di Taranto, Somasundaram Subramaniam
OBJECTIVES: To assess postoperative pain and pattern of recovery to normal diet in children who underwent tonsillectomy. METHODS: Cold steel tonsillectomy (or adenotonsillectomy) was performed in 61 children. Hemostasis was attained with sutures in Group 1 (n=30, 8 tonsillectomy and 22 adenotonsillectomy), and electrocautery in Group 2 (n=31,6 tonsillectomy and 25 adenotonsillectomy). Information obtained included post-operative pain scores and the number of postoperative days taken to resume normal diet...
May 7, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29729030/treating-pediatric-post-tonsillectomy-pain-and-nausea-with-complementary-and-alternative-medicine
#5
REVIEW
Katherine R Keefe, Kevin J Byrne, Jessica R Levi
OBJECTIVES: Although tonsillectomy is a common and largely safe procedure, pain management in children remains a controversial topic. In addition to the challenge of choosing appropriate analgesia, there is often low parent and child adherence. This article presents a review, and evaluates the potential role, of a range of complementary and alternative therapies that may be sought out by parents. METHODS: A literature review of complementary and alternative interventions performed using PubMed, Cochrane Library, and EMBASE, supplemented by searches from Google and hand searches of cross-references of selected articles, yielded 32 studies for qualitative analysis...
May 4, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29714431/emotion-regulation-and-premedication-success-relationship-in-children-who-underwent-general-anesthesia
#6
Aslıhan Aykut, Berrin Işık
Background/aim: This study aims to investigate the relationship between emotion regulation characteristics and the efficacy of midazolam premedication. Materials and methods: Sixty-three children, aged 3 to 8 years old, with tonsillectomy and/or adenoidectomy and taking premedication with midazolam (Group 2) or without premedication (Group 1), were included in this study. The behavioral and emotional status of the children was evaluated with the Conners Parent Rating Scale-48 (CPRS-48) and Emotion Regulation Checklist (ERC)...
April 30, 2018: Turkish Journal of Medical Sciences
https://www.readbyqxmd.com/read/29665628/effect-of-topical-propolis-on-wound-healing-process-after-tonsillectomy-randomized-controlled-study
#7
Jeong Hwan Moon, Min Young Lee, Young-Jun Chung, Chung-Ku Rhee, Sang Joon Lee
Objectives: The post-tonsillectomy pain and post-tonsillectomy hemorrhage are the two main problems after tonsillectomy. The aim of this study was to investigate the beneficial effects of water soluble ethanol extract propolis on post-tonsillectomy patient. Methods: One hundred and thirty patients who underwent tonsillectomy or adenotonsillectomy were randomly divided into the control and propolis groups, each including 65 patients. The propolis group was applied with propolis orally immediately after surgery and by gargle...
December 28, 2017: Clinical and Experimental Otorhinolaryngology
https://www.readbyqxmd.com/read/29660744/-need-of-analgetics-in-children-aged-2-12-years-after-tonsil-surgery
#8
Philipp Gude, Claudia Rieckert, Nicolai Bissantz, Thomas Peter Weber, Heike Vogelsang, Stefan Dazert, Jan Peter Thomas
OBJECTIVE: Tonsil surgery is one of the most painful operations in childhood. The Children's and Infants' Postoperative Pain Scale (CHIPPS), the Faces Pain Scale-Revised (FPS-R) and the little-known German version of the parents' postoperative pain measure (PPPM-D) are age-appropriate measures. Children undergoing intracapsular tonsillectomy (TO) or extracapsular tonsillectomy (TE) received the non-opioids ibuprofen (IBU) and paracetamol (PCM) on a "as needed"-basis requested by parents...
April 16, 2018: Laryngo- Rhino- Otologie
https://www.readbyqxmd.com/read/29655490/effect-of-changing-postoperative-pain-management-on-bleeding-rates-in-tonsillectomy-patients
#9
Alexandra C G Fonseca, Margaret I Engelhardt, Zhen J Huang, Zi Yang Jiang, Sancak Yuksel, Soham Roy
PURPOSE: To review rates of post-tonsillectomy hemorrhage (PTH) at a quaternary medical center, including the impact of narcotic versus nonsteroidal anti-inflammatory drug (NSAID) postoperative pain management. MATERIALS AND METHODS: A retrospective review was performed of tonsillectomies conducted at a single institution between 1/1/2013 and 1/1/2017. The rates of PTH and subsequent intervention were calculated. These were categorized into patients having surgery pre- and post-July 1, 2015, the former group receiving narcotics and the latter ibuprofen with acetaminophen...
April 5, 2018: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29573428/the-effect-of-postoperative-steroids-on-post-tonsillectomy-pain-and-need-for-postoperative-physician-contact
#10
Andrew J Redmann, Matthew Maksimoski, Cheryl Brumbaugh, Stacey L Ishman
OBJECTIVES/HYPOTHESIS: Examine the effect of postoperative steroids on postoperative physician contacts and determine the hemorrhage rate for patients taking postoperative steroids. STUDY DESIGN: Retrospective review of medical records. METHODS: A retrospective review was performed of children undergoing tonsillectomies before and after the institution of a standard postoperative course of three doses of dexamethasone (0.5 mg/kg). Tylenol and ibuprofen were also used for all patients, with oxycodone given as a rescue medication for children ≥6 years of age...
March 24, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29570108/intra-operative-lidocaine-in-the-prevention-of-vomiting-after-elective-tonsillectomy-in-children-a-randomised-controlled-trial
#11
Ghislaine C Echevarría, Fernando R Altermatt, Sebastian Paredes, Valentina Puga, Hernán Auad, Ana M Veloso, María F Elgueta
BACKGROUND: Postoperative vomiting (POV) is a frequent complication of tonsillectomy in children. In adult patients undergoing abdominal surgeries, the use of intravenous lidocaine infusion can prevent POV. OBJECTIVE: To evaluate the anti-emetic effect of an intravenous lidocaine infusion used as an adjuvant to general anaesthesia, in children undergoing elective ear, nose and throat surgery. DESIGN: Double-blind, randomised, controlled study...
May 2018: European Journal of Anaesthesiology
https://www.readbyqxmd.com/read/29529606/does-listening-to-music-during-tonsillectomy-affect-sevoflurane-consumption
#12
Elif Doğan Baki, Şahin Ulu, Ahmet Yüksek, Hüseyin Arıcan, Remziye Sivaci
OBJECTIVE: The aim of this study was to investigate the effect of listening to music on the consumption of an anesthetic agent as well as postoperative recovery and pain in children undergoing elective tonsillectomy. MATERIALS AND METHODS: Fifty patients were randomized into those to whom music was played during surgery (Group M) and a control group to whom music was not played (Group C). The depth of anesthesia was provided by entropy levels of 50 ± 5 in both groups...
March 12, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/29498972/comparing-the-efficacy-of-peritonsillar-injection-of-tramadol-with-honey-in-controlling-post-tonsillectomy-pain-in-adults
#13
Maryam Hatami, Mahdieh Mirjalili, Vida Ayatollahi, Sedighe Vaziribozorg, Vahid Zand
INTRODUCTION: The authors investigated the effect of honey on post-tonsillectomy pain and compare its efficacy with tramadol. METHODS: This clinical trial was performed on 60 patients with American Society of Anesthesia I and II aged between 18 and 55 years and underwent tonsillectomy. Induction of anesthesia was carried out using 2 mg/kg propofol and 0.5 atracurium following 1.5 μg/kg fentanyl administration. Group B was given tramadol at dose of 2 mg/kg and with volume of 4 mL and Group A was given normal saline with the same volume 2 mL of medications were injected using needle (25) into tonsil bed and anterior old of each tonsil by an anesthesiologist...
March 1, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29460670/opioid-prescribing-patterns-among-otolaryngologists
#14
Marissa A Schwartz, James G Naples, Chia-Ling Kuo, Todd E Falcone
Objectives To evaluate national trends in opioid prescribing patterns by otolaryngologists for postoperative pain control after common otolaryngologic procedures. Study Design Cross-sectional; survey. Subjects and Methods A survey to determine opioid prescribing patterns for the treatment of postoperative pain following common otolaryngologic procedures was distributed to all members of the American Academy of Otolaryngology-Head and Neck Surgery. Results The most common pain medication prescribed for adults postoperatively was hydrocodone-acetaminophen (73%), followed by oxycodone-acetaminophen (39%)...
May 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29447892/differences-in-postoperative-maladaptive-behavioral-changes-between-partial-and-total-tonsillectomy-patients
#15
Yi Cai, Lindsay Lopata, Sonam Dodhia, Matthew Monteleone, Joseph Haddad, Lena S Sun
INTRODUCTION: Behavioral difficulties associated with sleep-disordered breathing (SDB) improve after tonsillectomy, but surgery may lead to the development of short-term postoperative maladaptive behavioral changes (PMBCs). These PMBCs have not been compared between total and partial tonsillectomy patients. METHODS: SDB patients aged 1-6 years undergoing tonsillectomy were recruited. Parent phone surveys were conducted at 48-72 hours and 1-2 weeks postoperatively...
March 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29288561/the-effect-of-flurbiprofen-oral-spray-and-ibuprofen-vs-ibuprofen-alone-on-postoperative-tonsillectomy-pain-an-open-randomised-controlled-trial
#16
B Türk, M Akpınar, Z N Erol, K S Kaya, Ö Ünsal, B U Coşkun
OBJECTIVE: This prospective clinical study was carried out to evaluate the analgesic efficacy and safety of oral spray form of flurbiprofen in the treatment of postoperative pain in tonsillectomy patients. STUDY DESIGN: Open, randomised, controlled clinical study. SETTING: Tertiary care training and research hospital. PARTICIPANTS: One hundred (53 males, 47 females) with an age range of 18-53 years old (mean 27.4 ± 9...
December 30, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29287875/coblation-versus-microdebrider-in-pediatric-adenoidectomy
#17
RANDOMIZED CONTROLLED TRIAL
Chris Mularczyk, David L Walner, Katherine K Hamming
OBJECTIVE: To compare and contrast coblation and microdebrider with touch-up electrocautery (ME) for adenoidectomy in children. METHODS: Patients <18 years old undergoing adenoidectomy without tonsillectomy were selected for this prospective, single-blinded, randomized controlled trial. Participants were enrolled into one of two groups based on birth date: coblation or ME. The surgeons completed a standard survey about intraoperative factors for each method. Recovery nurses filled out a standardized survey postoperatively...
January 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29287863/demonstration-of-analgesic-effect-of-intranasal-ketamine-and-intranasal-fentanyl-for-postoperative-pain-after-pediatric-tonsillectomy
#18
RANDOMIZED CONTROLLED TRIAL
Alper Yenigun, Sinan Yilmaz, Remzi Dogan, Seda Sezen Goktas, Muhittin Calim, Orhan Ozturan
OBJECTIVE: Tonsillectomy is one of the oldest and most commonly performed surgical procedure in otolaryngology. Postoperative pain management is still an unsolved problem. In this study, our aim is to demonstrate the efficacy of intranasal ketamine and intranasal fentanyl for postoperative pain relief after tonsillectomy in children. MATERIAL AND METHOD: This randomized-controlled study was conducted to evaluate the effects of intranasal ketamine and intranasal fentanyl in children undergoing tonsillectomy...
January 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29238690/tonsillectomy-comparative-study-of-various-techniques-and-changing-trend
#19
Ravinder Verma, Ravneet Ravinder Verma, Rohan Ravinder Verma
Tonsillectomy is a major surgical procedure in terms of volume in the general otolaryngological practice. It is a 3000-year-old surgical operation, referred in Hindu medicine. There has been a conceptual change in the indications and surgical technique in the last 40 years. A comparative study between the various methods of tonsillectomy was done. The study was carried out in the single institutional set up by the same surgeon but using different techniques. The study aimed at comparing the intra-operative factors (blood loss, time taken for surgery), postoperative results (pain, bleeding, dehydration, time taken for complete healing), and other complications like vomiting and hospitalization time between different groups of surgical methods...
December 2017: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/29224770/pain-control-following-tonsillectomy-in-children-a-survey-of-patients
#20
Philip R Persino, Lena Saleh, David L Walner
OBJECTIVE: This prospective study aimed to survey pediatric patients and their parents after tonsillectomy to assess their pain management utilization and satisfaction. INTRODUCTION: Tonsillectomy is the second most common surgical procedure performed in pediatric patients. Postoperative recovery is often associated with high levels of pain and severe functional limitations. There is currently no consensus on pain control regimens. Additionally, a recent FDA Black Box Warning on narcotic use has caused more uncertainty in appropriate pain control regimens...
December 2017: International Journal of Pediatric Otorhinolaryngology
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