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'Desire for more analgesic treatment': pain and patient-reported outcome after paediatric tonsillectomy and

Ulrike M Stamer1, Kyra Bernhart2, Thomas Lehmann3

  • 1Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland; Department of BioMedical Research, University of Bern, Bern, Switzerland.

British Journal of Anaesthesia
|March 9, 2021
PubMed

Insights

Pain after paediatric surgery is common. Giving at least two types of non-opioid pain relievers before surgery can improve patient outcomes and reduce the need for more pain treatment.

Area of Science:

  • Pediatric Surgery
  • Pain Management
  • Pharmacology

Background:

  • Post-operative pain is frequent following paediatric appendectomy and tonsillectomy.
  • Identifying factors associated with poor patient-reported pain outcomes is crucial.

Purpose of the Study:

  • To identify variables linked to inadequate pain management after paediatric appendectomy and tonsillectomy.
  • To analyze patient-reported outcomes and perioperative pharmacological data.

Main Methods:

  • Analysis of data from the European PAIN OUT infant registry.
  • Utilized elastic net regularization to evaluate variables associated with 'desire for more pain treatment'.

Main Results:

  • 24.8% of appendectomy and 20.2% of tonsillectomy patients desired more pain treatment.
  • Pain-related sleep disturbance and higher pain intensity increased the likelihood of desiring more treatment.
  • Preventive administration of at least two non-opioid analgesic classes was inversely associated with the desire for more postoperative analgesics.

Conclusions:

  • Preventive administration of multiple non-opioid analgesics is a simple strategy to enhance patient-reported outcomes.
  • This approach may reduce the need for additional pain medication post-surgery.
Abstract

Keywords:
appendectomydesire for more pain treatmentnon-opioid analgesicsopioidspaediatric postoperative painpatient-reported outcomestonsillectomy

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