Pharmacologic management of post-tonsillectomy pain in children

• 作者: Jensen Daniel R.
• 来源期刊: 世界耳鼻咽喉头颈外科杂志（英文）
• 关键词: Pediatric tonsillectomy Tonsillectomy pain Postoperative analgesia
• 年，卷（期）: 2021,（3）
• 所属期刊栏目: Review Article
• 页码范围: 186-193
• 页数: 8页
• 语种: 中文
• DOI: 10.1016/j.wjorl.2021.03.004

摘要

Tonsillectomy is a very common procedure in children, often performed on an outpatient basis. Severe postoperative pain is common, and can be prolonged. Despite a large number of available analgesic medications, often employed in combination, achieving adequate pain control remains a persistent challenge. Research suggests a tendency among caregivers to undertreat pain, and a need for detailed care instructions and education to ensure adequate pain management. Furthermore, ongoing questions regarding the safety and efficacy of the most commonly used medications have led to wide variance in practice patterns and continuous reassessment through research that yields sometimes conflicting results. This review summarizes the current state of the literature and presents a management approach which attempts to maximize pain control while minimizing potential harm with combinations of medications and modification based on patient-specific factors.