Establishment of resilience in a challenging recovery at home after pediatric tonsil surgery—Children’s and caregivers’ perspectives

Abstract

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Pain management after tonsil surgery in children and adults—A national survey related to pain outcome measures from the Swedish Quality Register for tonsil surgery

“…Timing, dosage, route of administration, form and duration are of utmost importance. This requires careful counselling of caregivers who are in charge of their children’s recovery after surgery [ 2 , 16 , 19 , 23 , 43 ]. It is important that providers counsel patients and caregivers repeatedly to anticipate, assess, reassess, and correctly treat postoperative pain, which is highlighted by national and international guidelines [ 18 , 21 , 22 , 25 , 44 ].…”

“…ENT clinics could possibly achieve more sufficient pain management for their patients by routinely handing out written information on postoperative pain management after discharge. Timing of this information is also important; it is more beneficial to discuss postoperative analgesics at the doctor’s office in conjunction with deciding on an operation than postoperatively when the patient might already be affected by pain [ 2 , 43 ]. It is crucial to explain the rationale for analgesic selection, dosage and around-the-clock regime including during night, along with potential side effects, to children’s caregivers and adult patients.…”

“…Tonsil surgery is one of the most painful types of surgery in outpatient settings, and pain is a predictable part of the postoperative experience. Inadequate management of pain is common and can have profound implications [1][2][3][4][5]. A significant proportion of patients contact health care services due to inadequate pain control postoperatively [5][6][7][8].…”