Analgesia following adenotonsillar surgery in children: is Oramorph required in addition to paracetamol and ibuprofen? - 01/02/17
, T. Kamani b, M. Daniel aBienvenue sur EM-consulte, la référence des professionnels de santé.
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Abstract |
Background |
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.
Methods |
Following (adeno)tonsillectomy, parents were telephoned and asked whether they used Oramorph.
Results |
Of 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.
Conclusion |
When 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.
Le texte complet de cet article est disponible en PDF.Keywords : Adenoidectomy, Tonsillectomy, Analgesia, Pain, Child, Otolaryngology, Morphine
Plan
Vol 134 - N° 1
P. 23-25 - février 2017 Retour au numéro
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