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Morphine or Ibuprofen for post-tonsillectomy analgesia: a randomized trial
Lauren E Kelly1, Doron D Sommer2, Jayant Ramakrishna2
1Department of Physiology and Pharmacology, Schulich School of Medicine and Dentistry, and Ivey Chair in Molecular Toxicology, Western University, London, Ontario, Canada;
Pediatrics
|January 28, 2015
Summary
Ibuprofen with acetaminophen is safe and effective for pediatric tonsillectomy pain. Morphine use post-tonsillectomy should be limited due to potential safety concerns and worsening respiratory issues.
Area of Science:
- Pediatric Anesthesiology
- Otolaryngology
- Sleep Medicine
Background:
- Pediatric sleep disordered breathing (SDB) is frequently linked to tonsillar hypertrophy, with tonsillectomy being a common treatment.
- Post-tonsillectomy pain management is controversial, with ongoing debate about the safest and most effective analgesic options for children.

