Analgesia following adenotonsillar surgery in children: is Oramorph required in addition to paracetamol and ibuprofen?

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• 作者：R. Wei Chern Gan^a ; ^{richardwcgan@gmail.com} ; T. Kamani^b ; M. Daniel^a
• 关键词：Adenoidectomy ; Tonsillectomy ; Analgesia ; Pain ; Child ; Otolaryngology ; Morphine
• 刊名：European Annals of Otorhinolaryngology, Head and Neck Diseases
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：134
• 期：1
• 页码：23-25
• 全文大小：288 K
• 卷排序：134

文摘

Recent advice against codeine use in children prompted our unit to prescribe Oramorph as required, in addition to regular paracetamol and ibuprofen, as post-(adeno)tonsillectomy analgesia. This study investigated whether Oramorph was in fact required.MethodsFollowing (adeno)tonsillectomy, parents were telephoned and asked whether they used Oramorph.ResultsOf 56 children studied, 41 (73.2%) were given Oramorph. In the 15 (26.8%) that were not, this was because parents felt it was not required in 14 children, and in 1 case, it was due to worries about side effects. Overall, 14 carers (25.0%) expressed concerns about Oramorph use, mostly over possible side effects.ConclusionWhen regular paracetamol and ibuprofen are used post-(adeno)tonsillectomy, nearly three quarters of children require Oramorph as well. Prescribing Oramorph as required, in addition to regular paracetamol and ibuprofen, is appropriate following adenotonsillar surgery.