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[Pain and postoperative behavioural changes following adenoidectomy and ear tube placement in children]

R Amouroux1, D Cohen-Salmon, R Gooze

  • 1Unité fonctionnelle d'analgésie pédiatrique, service d'anesthésie-réanimation, hôpital d'enfants Armand-Trousseau, 26, avenue du Docteur-Arnold-Netter, 75571 Paris cedex 12, France. remy.amouroux@trs.aphp.fr

Annales Francaises D'Anesthesie Et De Reanimation
|December 17, 2008
PubMed

Insights

Postoperative pain after outpatient adenoidectomy (VG) and ear tube (ATT) surgery was generally low. However, parents frequently reported behavioral changes at home, indicating a need for better monitoring.

Area of Science:

  • Pediatric Otolaryngology
  • Pain Management
  • Child Psychology

Context:

  • Outpatient pediatric surgeries like adenoidectomy (VG) and ear tube insertion (ATT) are common.
  • Assessing postoperative pain and behavioral changes is crucial for recovery.
  • Limited data exists on the combined evaluation of pain and behavior post-VG/ATT.

Purpose:

  • To evaluate postoperative pain in children undergoing outpatient adenoidectomy (VG) and/or ear tube insertion (ATT).
  • To assess behavioral changes in children at home following these procedures.
  • To correlate pain scores with observed behavioral alterations.

Summary:

  • A prospective cohort study of 64 children undergoing VG, ATT, or combined VG-ATT surgeries.
  • Postoperative pain was measured using the Objective Pain Scale (OPS) in-hospital and a numeric pain scale at home.
  • Behavioral changes were assessed using the Post-Hospital Behavior Questionnaire (PHBQ).
  • While in-hospital and home pain scores were low, a high percentage of parents reported behavioral changes up to seven days post-surgery.

Impact:

  • Findings highlight that frequent behavioral changes occur post-VG/ATT surgery despite adequate pain management.
  • Suggests the need for systematic evaluation of behavioral changes to enhance pediatric patient care.
  • Informs parents and clinicians about potential non-pain related post-operative issues.
Abstract

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