Pain After Tonsillectomy and Adenoidectomy: “Ouch It Did Hurt Bad”

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

“…Semi-structured questions focused on what they perceived was important to learn about pain prior to an operation. Many of the children's described non-pharmacologic pain management strategies have been previously reported with children experiencing post-operative tonsillectomy pain [18,20,21].…”

“…Based on a review of the tonsillectomy research [15][16][17][18][19][20][21][22], the influence of pre-operative pain education was measured on the reported post-operative outcomes.…”

Parents’ preferences strongly influence their decisions to withhold prescribed opioids when faced with analgesic trade-off dilemmas for children: A prospective observational study

“…Despite these findings, parents have been critiqued for undertreating children's pain by withholding prescribed analgesics following surgery (Fortier et al, 2009). Further, many studies suggest that most parents give less than prescribed analgesic doses after surgery in a manner that correlates only poorly to moderately with their children's reported pain intensity (Kankkunen et al, 2003;Rony et al, 2010;Stewart et al, 2012;Vincent et al, 2012;Warnock and Lander, 1998;Zisk et al, 2008;Hamers and Abu-Saad, 2002;Helgadottir and Wilson, 2004;Unsworth et al, 2007;Wiggins and Foster, 2007;Huth and Broome, 2007). Many discontinue analgesics even when pain is ongoing (Warnock and Lander, 1998;Hamers and Abu-Saad, 2002).…”

Oral morphine versus ibuprofen administered at home for postoperative orthopedic pain in children: a randomized controlled trial

“…[3][4][5][6][7] Inadequate analgesia is prevalent after outpatient pediatric surgery 3,[6][7][8][9][10] and is the most common reason for unplanned hospital admissions. 11 In children, suboptimal analgesia can result in sleep disturbance, behavioural changes and vomiting.…”