Pain Management of Children Aged 5 to 10 Years After Adenotonsillectomy
| Autor: | Eileen Ryan, Regina Flynn-Roth, Deborah Scalford, Katherine Finn Davis, Beth Ely, Dekeisha Howard, Eileen Phillips |
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| Rok vydání: | 2013 |
| Předmět: |
Male
Parents Analgesics medicine.medical_specialty business.industry Parental presence Pain management Adenoidectomy Medical–Surgical Nursing Pharmacotherapy Analgesic therapy Child Preschool Pediatric pain Health care Pediatric surgery Physical therapy medicine Humans Pain Management Female Child business Guided imagery Retrospective Studies Tonsillectomy |
| Zdroj: | Journal of PeriAnesthesia Nursing. 28:353-360 |
| ISSN: | 1089-9472 |
| DOI: | 10.1016/j.jopan.2013.05.010 |
| Popis: | Purpose The undertreatment of pediatric pain has been widely researched and continues to be a concern for health care professionals. Adenotonsillectomy is a common pediatric surgery associated with a moderate-to-high level of postoperative pain. The purpose of this study was to increase understanding of the current pain management practices provided to children aged 5 to 10 years undergoing adenotonsillectomy and identify areas for improvement. Design A retrospective descriptive design was used. Methods An extensive review of the literature on pediatric pain management after adenotonsillectomy provided the evidence to compare against the care currently provided at our institution. A retrospective chart review of 100 children who have undergone outpatient adenotonsillectomy surgery over a 6-month period was conducted. Findings Patients who received combination opioid analgesic medications either intraoperatively or during Phase I had significantly lower pain scores in Phase II than those who received monotherapy in either setting. Conclusions The combination of drug therapy and parental presence may be helpful in decreasing pain and postanesthesia care unit length of stay. Exploration of the role of nonpharmacologic pain management techniques such as distraction, guided imagery, music, and the use of ice collars in conjunction with analgesic therapy is needed. |
| Databáze: | OpenAIRE |
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