Update review of pain control methods of tonsil surgery

Kim, Dong-Hyun; Jang, Kyungil; Lee, Seulah; Lee, Hyun Jin

doi:10.1016/j.anl.2019.10.002

Cited by 2 publications

(3 citation statements)

References 71 publications

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“…Paracetamol, NSAIDs, and opioids are rou nely used in post-opera ve period. Other modali es need further studies to clarify their 11,13 effec veness. Majority of our par cipants were females.…”

Section: Discussionmentioning

confidence: 99%

Is Diclofenac Gargle Effective in Alleviating Post-Tonsillectomy Pain in Adults?

Acharya

Singh²,

Panday³

et al. 2020

Birat J. Health Sci.

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Introduction: Pain in the post-operative period is a major concern following tonsillectomy in an adult resulting in prolonged hospital stay, decreased oral intake and absence from work. Various techniques and medications have been tried to reduce the pain. Objectives We attempted to study the efficacy of diclofenac gargle in reducing the post-tonsillectomy pain in adults. Methodology We conducted a double-blind randomized study in patients 18 years or older undergoing tonsillectomy. Cases were given diclofenac gargle in post-operative period whereas controls were given normal saline gargle. Other modality of treatment and medication were same in both the groups. Pain was assessed at rest and during swallowing with Visual Analogue Score (VAS) on first and second post-operative day, and then at the end of first and second week of the surgery. Pain scores between two groups were compared. Results There were 64 participants equally divided into cases and controls by block randomization. Pain score during swallowing was significantly less in cases. The difference at rest was not significant at any point of time studied. The pain gradually increased over a week in both the groups and then rapidly decreased by the end of second week. Conclusion Diclofenac gargle is effective in reducing the posttonsillectomy pain, especially during swallowing, in adults.

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Section: Discussionmentioning

confidence: 99%

Is Diclofenac Gargle Effective in Alleviating Post-Tonsillectomy Pain in Adults?

Acharya

Singh²,

Panday³

et al. 2020

Birat J. Health Sci.

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show abstract

“…Tonsillectomy is the most common surgical procedure in otorhinolaryngology 2 . In recent years, with the emergence of new equipment, intraoperative bleeding and other undesirable complications are decreasing in patients with tonsillectomy, but the patient's wound after the operation will still be strong pain, which will be aggravated by the patient's drinking and eating, and it will take at least 15 days to fully recover 1,3,4 . At present, post‐tonsillectomy pain is still the biggest problem for patients and otorhinolaryngology medical staff.…”

Section: Introductionmentioning

confidence: 99%

“… 2 In recent years, with the emergence of new equipment, intraoperative bleeding and other undesirable complications are decreasing in patients with tonsillectomy, but the patient's wound after the operation will still be strong pain, which will be aggravated by the patient's drinking and eating, and it will take at least 15 days to fully recover. 1 , 3 , 4 At present, post‐tonsillectomy pain is still the biggest problem for patients and otorhinolaryngology medical staff. Postoperative wound pain not only affects the patient's mood, sleep and diet, but also increases the chance of dehydration, bleeding and infection, and delays the patient's postoperative recovery, so effective control of postoperative pain is also an important indicator of nursing quality.…”

Section: Introductionmentioning

confidence: 99%

Effect of comprehensive nursing intervention on wound pain and wound complications in patients with tonsillectomy: A meta‐analysis

Wu,

Zhang,

Zhang

et al. 2023

International Wound Journal

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To systematically evaluate the effects of comprehensive nursing interventions on wound pain and complications in patients after tonsillectomy, with a view to providing a reference basis for future post‐tonsillectomy care. According to the developed literature search strategy, PubMed, Web of Science, Cochrane Library, Embase, Wanfang, China Biomedical Literature Database and China National Knowledge Infrastructure database were systematically searched, from database inception to October 2023, for randomised controlled trials (RCTs) of the application of comprehensive nursing interventions in patients undergoing tonsillectomy. Two researchers independently screened the literature, evaluated the risk of bias of the included studies and extracted data in strict accordance with the inclusion and exclusion criteria. RevMan 5.4 software was applied for data analysis. Overall, 18 RCTs involving 1954 patients were included, including 967 in the comprehensive nursing group and 987 in the conventional nursing group. The analyses revealed that compared with conventional nursing, patients who received comprehensive nursing interventions had lower postoperative wound pain scores (standardised mean difference [SMD]: −2.30, 95% confidence interval [CI]: −2.19 to −1.70, p < 0.00001), shorter hospital stays (SMD: ‐1.95, 95% CI: −2.39 to −1.51, p < 0.00001), incidence of postoperative haemorrhage (1.60% vs. 6.41%, odds ratio [OR]: 0.29, 95% CI: 0.12–0.70, p = 0.006) and complication rates (4.21% vs. 19.01%, OR: 0.19, 95% CI: 0.11–0.32, p < 0.00001) was lower. This study concludes as follows: comprehensive nursing intervention applied to tonsillectomy can significantly reduce patients' postoperative wound pain, shorten hospital stay, reduce postoperative bleeding and postoperative complications, which is worthy of being promoted and applied in the clinic.

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Update review of pain control methods of tonsil surgery

Cited by 2 publications

References 71 publications

Is Diclofenac Gargle Effective in Alleviating Post-Tonsillectomy Pain in Adults?

Is Diclofenac Gargle Effective in Alleviating Post-Tonsillectomy Pain in Adults?

Effect of comprehensive nursing intervention on wound pain and wound complications in patients with tonsillectomy: A meta‐analysis

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