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Published on: November 6, 2019
Effect of ice cream intake on post-tonsillectomy pain in children
Faiza Grati1, Mohamed Omrane1, Imen Zouche1
1Department of Anesthesiology, Habib Bourguiba University Hospital, 3000, Sfax, Tunisia; Faculty of Medicine of Sfax, University of Sfax, Tunisia.
Insights
Giving children ice cream after tonsillectomy significantly reduced post-operative pain and improved oral intake. This simple intervention enhanced recovery without increasing complications, offering a beneficial option for pediatric pain management.
Area of Science:
- Pediatric Surgery
- Pain Management
- Anesthesiology
Background:
- Post-tonsillectomy pain is a significant concern in pediatric care.
- Effective pain management strategies are crucial for improving patient recovery and reducing discomfort.
Purpose of the Study:
- To evaluate the impact of ice cream consumption on pain levels in children following tonsillectomy.
- To assess secondary outcomes including analgesic use, oral intake, and complication rates.
Main Methods:
- A prospective, randomized, single-blinded clinical trial was conducted.
- Participants were divided into two groups: one receiving standard analgesia and the other receiving standard analgesia plus ice cream.
- Pain was assessed using the Face, Legs, Activity, Cry, Consolability (FLACC) scale.
Main Results:
- Children who consumed ice cream showed significantly lower FLACC scores at 6, 12, and 18 hours post-surgery.
- The ice cream group experienced a longer time to first analgesic request and a shorter time to first oral fluid intake.
- No significant difference in the occurrence of post-operative complications was observed between the groups.
Conclusions:
- Ice cream intake is an effective method for reducing pain after pediatric tonsillectomy.
- This intervention improves oral fluid intake and does not increase the risk of post-operative complications.
- Ice cream serves as a beneficial adjunct to standard pain management protocols in pediatric tonsillectomy patients.
Aims:
We aim to evaluate the effect of ice cream intake on post tonsillectomy pain in children.
Material And Methods:
This study is a prospective, randomized, simple blinded clinical trial. Patients were randomized into two groups: no ice-cream group which received a standard analgesic protocol and the ice cream group which received the same analgesic protocol associated with an ice cream offered for the child before leaving the post anesthesia care unit (PACU). Pain was evaluated by the FLACC scale.
Objectives:
The main objective was to compare the FLACC scales between the 2 groups at H6 post-operatively. Accessory objectives included evaluating the time to the first analgesic request and to the first oral intake as well as the occurrence of post operative complications.
Results:
Forty-eight children were included. Better pain control was noted in the ice-cream group with significant difference in FLACC scales compared to the no ice-cream group at H6 (p = 0,031), H12 (p = 0,04), H18 (p = 0,024). The time to first analgesic request was significantly longer in the ice-cream group (p < 0,001). The time to first oral fluid intake was significantly shorter in the ice-cream group (p = 0,043). Post operative complications were comparable between the 2 groups.
Conclusion:
Ice cream intake proved to reduce post tonsillectomy pain and to improve the time to first oral fluid intake without increasing the incidence of post operative complications.
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