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Published on: November 6, 2019
Posttonsillectomy pain in children
Kimberly A Sutters1, Glenn Isaacson
1Kimberly A. Sutters is a clinical nurse specialist in the Department of Patient Care Support at Children's Hospital Central California in Madera. Glenn Isaacson is a professor in the Departments of Otolaryngology-Head and Neck Surgery and Pediatrics at the Temple University School of Medicine in Philadelphia. Some of the research on which this article is based was funded by an unrestricted project grant Ms. Sutters received from the National Institute of Nursing Research. Contact author: Kimberly A. Sutters, ksutters@childrenscentralcal.org. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.
Insights
Post-tonsillectomy pain management is crucial for children undergoing the procedure for various conditions. This review covers pain causes, effective treatments, and best practices for medication adherence to improve patient outcomes.
Area of Science:
- Pediatric surgery
- Pain management
- Otolaryngology
Background:
- Tonsillectomy is a common pediatric surgical procedure for conditions like obstructive sleep apnea and recurrent infections.
- Post-tonsillectomy recovery is frequently complicated by significant nausea, vomiting, and moderate-to-severe pain.
- Effective pain management is essential for optimal recovery and patient satisfaction.
Purpose of the Study:
- To review the etiology of post-tonsillectomy pain.
- To evaluate the efficacy of current pharmacologic and nonpharmacologic pain interventions.
- To provide recommendations for patient/family education and medication adherence.
Main Methods:
- Literature review of studies on post-tonsillectomy pain.
- Analysis of pharmacologic and nonpharmacologic pain management strategies.
- Synthesis of evidence regarding patient education and adherence.
Main Results:
- Identified key causes contributing to post-tonsillectomy pain.
- Assessed the effectiveness of various pain relief modalities.
- Highlighted the importance of comprehensive patient education and adherence strategies.
Conclusions:
- Optimizing post-tonsillectomy pain control requires a multifaceted approach.
- Evidence-based strategies can improve patient comfort and recovery.
- Enhanced patient and family education is vital for successful pain management and adherence.
Abstract:
Tonsillectomy, used to treat a variety of pediatric disorders, including obstructive sleep apnea, peritonsillar cellulitis or abscesses, and very frequent throat infection, is known to produce nausea, vomiting, and prolonged, moderate-to-severe pain. The authors review the causes of posttonsillectomy pain, current findings on the efficacy of various pharmacologic and nonpharmacologic interventions in pain management, recommendations for patient and family teaching regarding pain management, and best practices for improving medication adherence.
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