Postoperative pain after adenoidectomy in children

Abstract

We have investigated if pain intensity or analgesic requirements in hospital predicted pain intensity, pain duration or analgesic requirements at home in 611 children, aged 1-7 yr, after day-case adenoidectomy. We also investigated if ketoprofen 0.3-3.0 mg kg-1, administered pre-emptively i.v. during operation, modified pain at home. In hospital, a prospective, randomized, double-blind, placebo-controlled study design was performed. A standard anaesthetic technique was used in all children and fentanyl i.v. was available for rescue analgesia. After discharge, the study design was open, experimental, prospective and longitudinal. On return home, children were prescribed ketoprofen tablets 5 mg kg-1 day-1. Parents were asked to complete an analgesia diary; non-responders were contacted by telephone. The response rate was 91%. The number of doses of fentanyl given in hospital correlated with pain intensity at home (P < 0.001). There were no other correlations and no pre-emptive effect of ketoprofen.

Comparison of Acetaminophen and Ketoprofen in Febrile Children: A Single Dose Randomized Clinical Trial

“…Overdosing was more likely with ibuprofen both in dosage and frequency. No serious adverse events including gastric bleeding were reported in several clinical studies evaluating the efficacy of ketoprofen for longer durations in pain treatment in children [23][24][25]. In the present study only one patient had an allergy favoring urticaria in the ketoprofen group.…”

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.…”

Pediatric Pain After Ambulatory Surgery: Where's the Medication?

“…2 Indeed, researchers outside the United States suggested high levels of pain after tonsillectomy and adenoidectomy, as well as undertreatment of postoperative pain by parents. [3][4][5][6][7][8][9][10][11] The majority of those studies, however, had methodologic limitations such as small sample sizes, limited use of validated pain measures, and lack of a standardized approach to anesthesia and surgery.…”