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Pain management for pediatric tonsillectomy: an integrative review through the perioperative and home experience
Dekeisha Howard1, Katherine Finn Davis, Eileen Phillips
1Cardiac Stepdown/PACU, Nemours/Alfred I. duPont Hospital for Children, Wilmington, Delaware.
Insights
Effective pain management for pediatric tonsillectomy patients involves preoperative education, surgical techniques, and post-operative care. Nurses play a key role in minimizing pain through various interventions.
Area of Science:
- Pediatric Surgery
- Pain Management
- Nursing Care
Background:
- Tonsillectomy is a common pediatric surgical procedure.
- Effective pain management is crucial for pediatric recovery.
- Current practices require further understanding.
Purpose of the Study:
- To review and synthesize current pain management practices for children undergoing tonsillectomy.
- To identify key areas for improving pediatric pain care.
Main Methods:
- Integrative literature review.
- Synthesis of existing research on pain management strategies.
Main Results:
- Identified four primary opportunities for pain management.
- Preoperative education and preparation are essential.
- Intraoperative surgical interventions can impact pain.
- Postoperative pharmacologic and nonpharmacologic interventions are vital in PACU and home settings.
Conclusions:
- Opportunities exist for care providers to optimize pain management.
- Nurses are pivotal in understanding and intervening to reduce pain.
- Comprehensive pain management strategies are needed for pediatric tonsillectomy patients.
Purpose:
This integrative review aims to increase our understanding of current pain management care practices for children undergoing tonsillectomy.
Conclusions:
Synthesis of the literature resulted in four main opportunities for care providers to manage pain: preoperative education and preparation, intraoperative surgical interventions, and postoperative pharmacologic and nonpharmacologic interventions in the post anesthesia care unit and home settings.
Practice Implications:
Nurses have many opportunities to understand pain management practices and intervene to minimize pain experienced in pediatric outpatients undergoing tonsillectomy.
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