PROSPECT guideline for tonsillectomy: systematic review and procedure‐specific postoperative pain management recommendations

Aldamluji, Niamat; Burgess, Andrea; Pogatzki-Zahn, Esther; Ræder, J.; Beloeil, Hélène

doi:10.1111/anae.15299

Cited by 87 publications

(83 citation statements)

References 147 publications

(235 reference statements)

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“…However, as for the smell, olive oil is of some aroma, and its intake has many health benefits for children ( 21 ). Adding olive oil to honey can help increase its intake, while oral administration of honey is also recommended for other medical needs, such as postoperative analgesia for tonsillectomy and oral mucositis treatment in children ( 22 , 23 ). Honey contains 65–80% (w/w) of glucose and fructose ( 24 ), and it still tastes very sweet even diluted twice, sweeter than the aqueous solution with same content (w/w) of sucrose, because sucrose (a disaccharide) is with lower sweetness than monosaccharide glucose and fructose.…”

Section: Discussionmentioning

confidence: 99%

Electric Insulating Irrigations Mitigates Esophageal Injury Caused by Button Battery Ingestion

Jia

Xie

et al. 2022

Front. Pediatr.

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ObjectiveAccidental ingestion of button batteries (BB), usually occurred in children and infants, will rapidly erode the esophagus and result in severe complications, even death. It has been recommended that treatment of this emergent accident as soon as possible with drinking of pH-neutralizing viscous solutions such as honey and sucralfate before surgical removal can mitigate the esophageal injury. Recently, we reported that the electric insulating solutions such as edible oils could mitigate tissue damage in BB-exposed esophageal segments. In this study, we compared the protective effect of kitchen oil with honey or sucralfate, the recommended pH-neutralizing beverages, and with their mixture on esophageal injury caused by BB ingestion in pig esophageal segments and in living piglets.MethodsEffect of olive oil irrigations was compared to that of honey or sucralfate irrigations in the BB-damaged esophageal segments freshly collected from the local abattoir and in live Bama miniature piglets with the proximal esophagus exposed to BB for 60 min. Also, the effect of olive oil and honey mixture (MOH) irrigations was assessed in live animals. The BB voltage was recorded before insertion and after its removal. Gross and histological analysis of the esophageal injury was performed after BB exposure in segmented fresh esophagus and 7 days after BB exposure in live animals, respectively.ResultsOlive oil irrigations demonstrated better protective effect against BB-induced esophageal damage, compared to honey or sucralfate for BB-induced esophageal damage in vitro. But in vivo study showed that olive oil alone exacerbated esophageal injury because all esophagi irrigated with olive oil perforated. Surprisingly, irrigations with the MOH showed considerable protective effect for BB-induced esophageal damage in live animals, significantly better than irrigations with honey alone. The MOH decreased BB discharge, reduced area of surface injury, attenuated injured depth of esophageal wall thickness, and downed the mucosal injury index in comparison to using honey alone.ConclusionIrrigations with olive oil alone couldn’t prevent the BB discharge and is harmful for BB ingestion before surgical removal. However, mixed with honey, olive oil very effectively prevents the BB discharging and produces better esophageal protection than honey.

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Section: Discussionmentioning

confidence: 99%

Electric Insulating Irrigations Mitigates Esophageal Injury Caused by Button Battery Ingestion

Jia

Xie

et al. 2022

Front. Pediatr.

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“…It was reported that percutaneous peripheral nerve stimulation can be used to treat acute postoperative pain of various types of surgeries [ 32 ]. Acupuncture intervention and transcutaneous electrical nerve stimulation (TENS), being similar to percutaneous peripheral nerve stimulation, have been proved to be effective for relieving postoperative pain of neck surgery [ 9 , 10 , 33 ], tonsillectomy [ 7 , 11 , 34 ], back surgery [ 5 ], dental procedures [ 7 , 35 ], and knee replacement [ 7 ]. Our previous clinical study [ 33 ] also showed that EA of LI18 and LI4-PC6 had a good effect in inducing analgesia and controlling the mean arterial pressure (MAP) and heart rate (HR), and reduced the anesthetic dose required by patients undergoing thyroid surgery.…”

Section: Discussionmentioning

confidence: 99%

Electroacupuncture Alleviates Hyperalgesia by Regulating CB1 Receptor of Spinal Cord in Incisional Neck Pain Rats

Wang

Zhang

Gao

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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Acupuncture therapy is effective in relieving postoperative pain of neck surgery, but its underlying mechanisms remain largely unknown. This study, in the incisional neck pain rat model, was designed to explore whether the endocannabinoid receptor 1 (CB1) in the cervical spinal cord is involved in the analgesic effect of electroacupuncture (EA) or not.The incisional neck pain model was established by making a longitudinal incision and applied EA treatment of Futu (LI18), Hegu-Neiguan (LI4-PC6), or Zusanli-Yanglingquan (ST36-GB34) for pain relief. The results showed that EA LI18 and EA LI4-PC6 effectively relieve allodynia caused by neck incision, which was obviously better than EA ST34-GB34 ( P < 0.05). After EA, the expression levels of CB1 mRNA at 4h in the EALI18 group, and 24 and 48h in both EALI18 and EALI4-PC6 groups, and those of CB1 protein at 4, 24, and 48h in the EALI18 group, and the immunoactivity of CB1 in both EALI18 and EALI4-PC6 groups at 4h were significantly upregulated in contrast to those of the model group ( P < 0.05). EA of either acupoint group had no effect on the expression of CB2 protein ( P > 0.05). Moreover, the antinociceptive effect of EA was reversed by AM251 (CB1 antagonist). Immunofluorescence dual staining showed that CB1 expressed in astrocytes in the superficial layer (laminae I and II) of dorsal horns of the cervical spinal cord. Therefore, the findings of this study revealed that upregulation of CB1 expression in the cervical spinal cord contributes to the analgesic effect of EA in incisional neck pain rats. The CB1 receptor expresses on astrocytes.

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“…Each year, 500,000 individuals in the United States undergo tonsillectomy [ 3 ], which is often performed during the daytime in an ambulatory setting by otolaryngologists and pediatricians [ 4 ]. Although the French Oto-Rhino-Laryngology Head and Neck Surgery Society [ 5 ] and other researchers [ 6 ] have published guidelines for post-tonsillectomy pain management in adults and children, respectively, pain management remains challenging and poorly managed in clinical practice [ 7 ]. Postoperative pain after tonsillectomy is related to the indications and surgical techniques [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Acupuncture Analgesia in Patients with Postoperative Neck Pain: A Protocol for Systematic Review and Meta-Analysis

Liu

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Background. There is a yearly increase in pain after neck surgery, which is accompanied by high consumption of opioids. However, the opioid addiction epidemic is one of the most serious public health problems worldwide. Therefore, it is important to find suitable alternatives for opioids. Acupuncture therapy has been found effective for some types of pain control. This protocol aims to evaluate the efficacy and safety of acupuncture therapy in the treatment of pain after neck surgery. Methods and Analysis. We will search eight electronic databases from their inception to April 2022. Only randomized controlled trials (RCTs) using manual acupuncture, auricular acupuncture, or electroacupuncture as major therapy will be included, regardless of whether the study was published in Chinese or English. The selection of studies and data extraction will be independently completed by at least two experienced reviewers with a master’s degree. The methodological quality of the included studies will be assessed by the Cochrane risk-of-bias tool. For the meta-analysis, Review Manager Statistical (RevMan V.5.3) software will be used. The results will be presented as the risk ratio (RR) for the binary data and the mean difference (MD) or standardized mean difference (SMD) for the continuous data. Ethics and Dissemination. This protocol for a systematic review will be submitted to a peer-reviewed journal for publication and presented at a relevant conference, and there is no need to obtain formal ethical approval. Trial Registration Number. PROSPERO registration number CRD42021281722.

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PROSPECT guideline for tonsillectomy: systematic review and procedure‐specific postoperative pain management recommendations

Cited by 87 publications

References 147 publications

Electric Insulating Irrigations Mitigates Esophageal Injury Caused by Button Battery Ingestion

Electric Insulating Irrigations Mitigates Esophageal Injury Caused by Button Battery Ingestion

Electroacupuncture Alleviates Hyperalgesia by Regulating CB1 Receptor of Spinal Cord in Incisional Neck Pain Rats

Acupuncture Analgesia in Patients with Postoperative Neck Pain: A Protocol for Systematic Review and Meta-Analysis

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