A survey of the administration of prednisolone versus ibuprofen analgesic protocols after ambulatory tonsillectomy

Aveline, Christophe; Hétêt, Hubert Le; Roux, Alain; Bonnet, Francis

doi:10.1016/j.accpm.2014.11.003

Cited by 15 publications

(11 citation statements)

References 32 publications

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“…60,139,[165][166][167][168][169] • Intravenous fentanyl or morphine or other suitable agent (if available) to treat breakthrough pain in the PACU 51,[170][171][172] • Oral NSAIDs and/or paracetamol in adequate dosage during the entire postoperative period from the moment when the oral intake will be possible. 173,174 • Intravenous or oral tramadol or other suitable agent if available as rescue in the ward. [175][176][177][178] Intermediate level • Intravenous fentanyl or opioid of choice in divided doses • Loading dose of paracetamol/NSAID intravenously, after induction of anesthesia.…”

Section: Intraoperative Postoperativementioning

confidence: 99%

Postoperative pain management in children: Guidance from the pain committee of the European Society for Paediatric Anaesthesiology (ESPA Pain Management Ladder Initiative)

Vittinghoff

Lönnqvist

Mossetti

et al. 2018

Pediatric Anesthesia

117

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The main remit of the European Society for Paediatric Anaesthesiology (ESPA) Pain Committee is to improve the quality of pain management in children. The ESPA Pain Management Ladder is a clinical practice advisory based upon expert consensus to help to ensure a basic standard of perioperative pain management for all children. Further steps are suggested to improve pain management once a basic standard has been achieved. The guidance is grouped by the type of surgical procedure and layered to suggest basic, intermediate, and advanced pain management methods. The committee members are aware that there are marked differences in financial and personal resources in different institutions and countries and also considerable variations in the availability of analgesic drugs across Europe. We recommend that the guidance should be used as a framework to guide best practice.

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Section: Intraoperative Postoperativementioning

confidence: 99%

Postoperative pain management in children: Guidance from the pain committee of the European Society for Paediatric Anaesthesiology (ESPA Pain Management Ladder Initiative)

Vittinghoff

Lönnqvist

Mossetti

et al. 2018

Pediatric Anesthesia

117

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“…The sample size per group in these RCTs ranged from 15 to 55. The average age of the participants included in the studies was approximately 30.3 years (), ranging from 18 to 68 . Male participants outnumbered female ones in four RCTs , while female participants predominated in other RCTs .…”

Section: Resultsmentioning

confidence: 99%

“…Nonsteroidal anti‐inflammatory drugs (NSAIDs) appear to inhibit inflammation and induce analgesia by inhibition of COX activity enzymes. NSAIDs are highly effective for treating moderate to severe postoperative pain and among them, ibuprofen is commonly prescribed, because it is safe, cost‐effective, and possesses an effective analgesic and anti‐inflammatory action .…”

Section: Introductionmentioning

confidence: 99%

Effect of ibuprofen on the efficacy of inferior alveolar nerve block in patients with irreversible pulpitis: A meta‐analysis

et al. 2018

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Keywords ibuprofen, inferior alveolar nerve block, irreversible pulpitis, meta-analysis, systematic review. AbstractThe aim of this study was to compare preventive ibuprofen administration to placebo on the efficacy of inferior alveolar nerve block in patients with irreversible pulpitis. A search was performed in PubMed, Scopus, Web of Science, LILACS, BBO, Cochrane Library, SIGLE, and grey literature. The risk of bias was evaluated through the Cochrane Collaboration's tool. The quality of evidence was assessed using the GRADE approach. Only seven studies remained for the meta-analysis. Administering ibuprofen before anaesthesia increased the success rate of injectable anaesthesia (RR = 1.79; 95% confidence interval (CI) 1.32-2.42; P = 0.0002) even in cases of symptomatic irreversible pulpitis (RR = 1.55; 95% CI 1.05-2.29; P = 0.03). The intensity of pain was lower for ibuprofen (standardised difference means (SMD) = À3.73; 95% CI À6.43 to À1.04; P = 0.007). Ibuprofen as premedication is beneficial for the success of inferior alveolar nerve block.

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“…Opioids are effective in controlling postoperative pain but side effects such as nausea, vomiting and sedation limit their use after a tonsillectomy . Non‐opioid analgesics are therefore the first‐line analgesic regimens for post‐tonsillectomy pain.…”

Section: Discussionmentioning

confidence: 99%

The effect of flurbiprofen oral spray and ibuprofen vs ibuprofen alone on postoperative tonsillectomy pain: An open, randomised, controlled trial

Türk

Akpınar

Erol

et al. 2018

Clinical Otolaryngology

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A survey of the administration of prednisolone versus ibuprofen analgesic protocols after ambulatory tonsillectomy

Cited by 15 publications

References 32 publications

Postoperative pain management in children: Guidance from the pain committee of the European Society for Paediatric Anaesthesiology (ESPA Pain Management Ladder Initiative)

Postoperative pain management in children: Guidance from the pain committee of the European Society for Paediatric Anaesthesiology (ESPA Pain Management Ladder Initiative)

Effect of ibuprofen on the efficacy of inferior alveolar nerve block in patients with irreversible pulpitis: A meta‐analysis

The effect of flurbiprofen oral spray and ibuprofen vs ibuprofen alone on postoperative tonsillectomy pain: An open, randomised, controlled trial

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