Introduction: Tonsillectomy is a painful operation and some studies have suggested that preoperative non-pharmacologic preparations may decrease postoperative pain. In this randomized clinical trial study, we decided to determine which is more effective in the post-tonsillectomy pain; an informative booklet or a costly, time consuming, sophisticated, and multi-component preparation program.
Materials And Methods: Patients were randomly assigned into two groups. In the booklet group, children and their parents only received an informative booklet as routine information preparation. On the other hand, in the multi-component group; in addition to receiving the same booklet, children and their parents received our multi-component pre-operative preparation program. The following items were included in the package: preoperative tour in the ward, an educational DVD, and therapeutic play intervention. All patients were observed at least for 8 h as a day case or ambulatory tonsillectomy. The pain score was recorded according to the visual analog scale for seven days. Finally, the post-tonsillectomy pain scores were compared in the two groups. The multi-component group included 121 children and booklet group 120.
Results: Minimum and maximum age was 9 and 12 years. Regarding post-tonsillectomy pain, we found no significant difference between the multi-component group and the booklet group.
Conclusion: Our data revealed that a new concept which is more cost-effective and concise booklet is as effective as costly and sophisticated methods in post-tonsillectomy pain among 9-12 years old children.
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http://dx.doi.org/10.1016/j.ijporl.2020.110359 | DOI Listing |
Int J Pediatr Otorhinolaryngol
February 2025
Department of Anesthesiology, Habib Bourguiba University Hospital, 3000, Sfax, Tunisia; Faculty of Medicine of Sfax, University of Sfax, Tunisia.
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).
Pan Afr Med J
March 2025
Department of Anesthesiology, Habib Bourguiba University Hospital, 3000, Sfax, Tunisia.
Introduction: tonsillectomy is the most commonly performed surgery in children. It is a painful surgery, which is often an ordeal for both children and their parents. The study aimed to evaluate the effects of ketamine used instead of or as an adjuvant to fentanyl on early postoperative pain scores in children undergoing tonsillectomy.
View Article and Find Full Text PDFInt J Pediatr Otorhinolaryngol
March 2025
Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, ON, Canada; The Hospital for Sick Children, Toronto, ON, Canada. Electronic address:
Objective: Parental anxiety and/or catastrophizing may bias the interpretation of children's pain and administration of analgesia post-tonsillectomy. We aimed to determine whether high levels of parental anxiety and/or catastrophizing impact child pain intensity interpretation and administration of analgesia.
Methods: Child-parent dyads were recruited from a tertiary care institution between July 2017-December 2019.
Clin Otolaryngol
December 2024
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.
Background: This study investigates the effect of locally applied honey on pain intensity, analgesia consumption, pain relief and nighttime awakenings in children following tonsillectomy, addressing conflicting evidence and the lack of differentiation between adult and paediatric populations in previous reviews.
Methods: A systematic search was conducted across multiple databases, including Cochrane Library, ClinicalTrials.gov, MEDLINE, Web of Science and Google Scholar.
Cureus
September 2024
Community Medicine, Bijapur Lingayat District Educational Association (BLDE) (Deemed to be University), Vijayapura, India.
Background Tonsillectomy is associated with significant pain, and postoperative pain control is often unsatisfactory. There have been several methods adopted to treat postoperative pain, but none of the methods were effective, with patients continuing to undergo severe postoperative pain. Hence, our study aimed to compare the efficacy of pre-emptive nebulized ketamine versus pre-emptive nebulized lidocaine with a control group receiving nebulized saline for pain control in children undergoing tonsillectomy.
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