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Pre-emptive triple analgesia protocol for tonsillectomy pain control in children: double-blind, randomised, controlled, clinical trial

Published online by Cambridge University Press:  12 March 2013

A M A El-Fattah  and
E Ramzy
A M A El-Fattah*
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Mansoura University, Egypt
E Ramzy
Affiliation:
Department of Anaesthesia and Intensive Care Unit, Faculty of Medicine, Mansoura University, Egypt
*
Address for correspondence: Dr Ahmed Musaad Abd El-Fattah, Otolaryngology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt Fax: +20 50 2267016 E-mail: ahmusaad@mans.edu.eg
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Abstract

Introduction:

This double-blind, controlled, parallel-group study was designed to determine the efficacy of pre-emptive triple analgesia for paediatric post-tonsillectomy pain management.

Materials and methods:

One hundred and thirty-five children were randomised into two groups: pre-emptive triple analgesia (n = 55) and control (n = 80). Pain was assessed using a visual analogue scale (in hospital) and the Parent's Postoperative Pain Measure (at home), and scores recorded.

Results:

Visual analogue scale scores on awakening and for 6 hours post-surgery were significantly better in the study group than the control group (p < 0.05). The Parent's Postoperative Pain Measure scores of control group children were significantly higher within the first 3 post-operative days (p = 0.000), with a greater percentage of children experiencing significant pain and requiring more analgesia.

Conclusion:

The proposed multimodal, pre-emptive analgesia protocol for paediatric post-tonsillectomy pain results in less post-operative pain, both in hospital or at home.

Keywords

TonsillectomyPainAnalgesiaChildComplications
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 4 , April 2013 , pp. 383 - 391
Copyright
Copyright © JLO (1984) Limited 2013

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