Children's pre-operative tonsillectomy pain education: Clinical outcomes

Crandall, Margie; Lammers, Cathleen R; Senders, Craig W; Braun, Jerome V.; Savedra, Marilyn

doi:10.1016/j.ijporl.2008.07.004

Cited by 30 publications

(31 citation statements)

References 42 publications

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“…Interestingly, in both groups, pain intensity at POD 3 was correlated with the rate of overall complications at days 1-10. Nonetheless, the non-optimal effect on pain intensity scores was consistent with previous interventional research on paediatric tonsillectomy (Sutters et al 2004, Crandall et al 2008. In these studies, even if the child received greater amounts of acetaminophen and codeine, no statistically significant difference was seen in pain intensity.…”

Section: Discussionsupporting

confidence: 86%

“…, Crandall et al . ). In these studies, even if the child received greater amounts of acetaminophen and codeine, no statistically significant difference was seen in pain intensity.…”

Section: Discussionmentioning

confidence: 97%

“…Many interventions have been evaluated to improve pain management, such as education strategies for parents or children (Chambers et al 1997, Unsworth et al 2007, Crandall et al 2008 and tools for parental guidance , Vall ee et al 2008. However, none of these strategies has proven significantly beneficial as regards pain.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A randomized clinical trial of a nurse telephone follow‐up on paediatric tonsillectomy pain management and complications

Paquette

May

Fiola

et al. 2013

Journal of Advanced Nursing

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Section: Discussionsupporting

confidence: 86%

“…, Crandall et al . ). In these studies, even if the child received greater amounts of acetaminophen and codeine, no statistically significant difference was seen in pain intensity.…”

Section: Discussionmentioning

confidence: 97%

See 1 more Smart Citation

A randomized clinical trial of a nurse telephone follow‐up on paediatric tonsillectomy pain management and complications

Paquette

May

Fiola

et al. 2013

Journal of Advanced Nursing

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show abstract

“…Few would dispute that minimising soreness and discomfort should be an essential goal of postoperative care for children following tonsillectomy. However, there is evidence that pain management practices are inadequate following tonsillectomy (Wiggins & Foster 2007) and that inadequate pain management can be counterproductive to preoperative pain education (Crandall et al. 2008).…”

Section: Discussionmentioning

confidence: 99%

“…A preoperative pain education booklet was designed by Crandall et al. (2008) following qualitative interviews with children aged 7–13 following tonsillectomy.…”

Section: Literature Reviewmentioning

confidence: 99%

Preoperative information needs of children undergoing tonsillectomy

Buckley

Savage

2010

Journal of Clinical Nursing

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Aims and objectives. To identify the information needs of children undergoing tonsillectomy with reference to content of information, method of delivery, information providers and timing of information provision. Background. Tonsillectomy can be anxiety provoking for children and preoperative preparation programmes are long recognised to reduce anxiety. However, few have been designed from the perspectives of children and to date little is known about how best to prepare children in terms of what to tell them, how to convey information to them, who can best provide information and what is the best timing for information provision. Design. A qualitative descriptive study. Method. Data were collected from nine children (aged 6-9) using interviews supported by a write and draw technique. Data were coded and categorised into themes reflecting content, method, providers and timing of information.Results. Children openly communicated their information needs especially on what to tell them to expect when facing a tonsillectomy. Their principal concerns were about operation procedures, experiencing 'soreness' and discomfort postoperatively and parental presence. Mothers were viewed as best situated to provide them with information. Children were uncertain about what method of information and timing would be most helpful to them. Conclusion. Preoperative educational interventions need to take account of children's information needs so that they are prepared for surgery in ways that are meaningful and relevant to them. Future research is needed in this area. Relevance to clinical practice. Practical steps towards informing children about having a tonsillectomy include asking them what they need to know and addressing their queries accordingly. Child-centred information leaflets using a question and answer format could also be helpful to children.

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Guidelines for Opioid Prescribing in Children and Adolescents After Surgery

et al. 2021

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IMPORTANCEOpioids are frequently prescribed to children and adolescents after surgery. Prescription opioid misuse is associated with high-risk behavior in youth. Evidence-based guidelines for opioid prescribing practices in children are lacking.OBJECTIVE To assemble a multidisciplinary team of health care experts and leaders in opioid stewardship, review current literature regarding opioid use and risks unique to pediatric populations, and develop a broad framework for evidence-based opioid prescribing guidelines for children who require surgery.EVIDENCE REVIEW Reviews of relevant literature were performed including all English-language articles published from January 1, 1988, to February 28, 2019, found via searches of the PubMed (MEDLINE), CINAHL, Embase, and Cochrane databases. Pediatric was defined as children younger than 18 years. Animal and experimental studies, case reports, review articles, and editorials were excluded. Selected articles were graded using tools from the Oxford Centre for Evidence-based Medicine 2011 levels of evidence. The Appraisal of Guidelines for Research & Evaluation (AGREE) II instrument was applied throughout guideline creation. Consensus was determined using a modified Delphi technique.FINDINGS Overall, 14 574 articles were screened for inclusion, with 217 unique articles included for qualitative synthesis. Twenty guideline statements were generated from a 2-day in-person meeting and subsequently reviewed, edited, and endorsed externally by pediatric surgical specialists, the American Pediatric Surgery Association Board of Governors, the American Academy of Pediatrics Section on Surgery Executive Committee, and the American College of Surgeons Board of Regents. Review of the literature and guideline statements underscored 3 primary themes: (1) health care professionals caring for children who require surgery must recognize the risks of opioid misuse associated with prescription opioids, (2) nonopioid analgesic use should be optimized in the perioperative period, and (3) patient and family education regarding perioperative pain management and safe opioid use practices must occur both before and after surgery.CONCLUSIONS AND RELEVANCE These are the first opioid-prescribing guidelines to address the unique needs of children who require surgery. Health care professionals caring for children and adolescents in the perioperative period should optimize pain management and minimize risks associated with opioid use by engaging patients and families in opioid stewardship efforts.

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Children's pre-operative tonsillectomy pain education: Clinical outcomes

Cited by 30 publications

References 42 publications

A randomized clinical trial of a nurse telephone follow‐up on paediatric tonsillectomy pain management and complications

A randomized clinical trial of a nurse telephone follow‐up on paediatric tonsillectomy pain management and complications

Preoperative information needs of children undergoing tonsillectomy

Guidelines for Opioid Prescribing in Children and Adolescents After Surgery

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