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Pre-emptive triple analgesia protocol for tonsillectomy pain control in children: double-blind, randomised,

A M A El-Fattah¹, E Ramzy

¹Department of Otolaryngology, Faculty of Medicine, Mansoura University, Egypt. ahmusaad@mans.edu.eg

The Journal of Laryngology and Otology

|March 14, 2013

Insights

Pre-emptive triple analgesia significantly reduced pain in children after tonsillectomy. This approach offers better pain management both in the hospital and at home.

Area of Science:

Anesthesiology
Pediatric Surgery
Pain Management

Background:

Post-tonsillectomy pain is a significant concern in pediatric patients.
Effective pain management is crucial for recovery and patient satisfaction.

Purpose of the Study:

To evaluate the efficacy of a pre-emptive triple analgesia protocol.
To assess its impact on pediatric post-tonsillectomy pain.

Main Methods:

A double-blind, controlled, parallel-group study.
135 children were randomized into pre-emptive triple analgesia or control groups.
Pain was measured using visual analogue scale and Parent's Postoperative Pain Measure.

Main Results:

The study group showed significantly better visual analogue scale scores post-surgery (p < 0.05).
Control group children experienced significantly higher pain scores in the first 3 days (p = 0.000).
A higher percentage of control patients required additional analgesia.

Conclusions:

Multimodal, pre-emptive analgesia effectively reduces pediatric post-tonsillectomy pain.
This protocol improves pain outcomes both in-hospital and at home.

Read full analysis

Abstract

Introduction:

This double-blind, controlled, parallel-group study was designed to determine the efficacy of pre-emptive triple analgesia for paediatric post-tonsillectomy pain management.

Materials And Methods:

One hundred and thirty-five children were randomised into two groups: pre-emptive triple analgesia (n = 55) and control (n = 80). Pain was assessed using a visual analogue scale (in hospital) and the Parent's Postoperative Pain Measure (at home), and scores recorded.

Results:

Visual analogue scale scores on awakening and for 6 hours post-surgery were significantly better in the study group than the control group (p < 0.05). The Parent's Postoperative Pain Measure scores of control group children were significantly higher within the first 3 post-operative days (p = 0.000), with a greater percentage of children experiencing significant pain and requiring more analgesia.

Conclusion:

The proposed multimodal, pre-emptive analgesia protocol for paediatric post-tonsillectomy pain results in less post-operative pain, both in hospital or at home.

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