Skip to main content
main-content

01.07.2014 | Miscellaneous | Ausgabe 7/2014

European Archives of Oto-Rhino-Laryngology 7/2014

Pain after pediatric otorhinolaryngologic surgery: a prospective multi-center trial

Zeitschrift:
European Archives of Oto-Rhino-Laryngology > Ausgabe 7/2014
Autoren:
Orlando Guntinas-Lichius, Gerd Fabian Volk, Katharina Geißler, Marcus Komann, Winfried Meissner
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1007/​s00405-014-2914-9) contains supplementary material, which is available to authorized users.

Abstract

The purpose of this study was to describe postoperative pain within the first day after pediatric otorhinolaryngologic surgery and to identify factors influencing postoperative pain. Using a prospective evaluation and a Web-based multi-center registry, children ≥4 years of age (n = 365) rated their pain using questionnaires of the project Quality Improvement in Postoperative Pain Treatment for Children including faces numeric rating scales (FNRS, 0–10) for the determination of patient’s pain on ambulation and his/her maximal and minimal pain within 8 h after day case surgery or at the first postoperative day for inpatient cases. Additionally, functional interference and therapy-related side effects were assessed. Half of the children were 4 or 5 years of age. The predominant types of surgery were adenoidectomy and tonsillectomy ± ear ventilation tubes. Although analgesics were applied preoperatively, intraoperatively, in the recovery room and on ward, maximal pain within the first day after surgery reached 4.4 ± 3.3 (FNRS). Pain was highest after oral surgery, especially after tonsillectomy and nose surgery. 39 % of the children reported pain interference with breathing (39 %). The most frequent side effect was drowsiness (55 %). Multivariate analysis revealed that maximal pain was independently associated with the non-standardized use of opioids in the recovery room, or use of non-opioid or opioids on ward. Analgesia and perioperative pain management in pediatric otorhinolaryngologic surgery seems to be highly variable. Tonsillectomy and nose surgery are very painful. After otorhinolaryngologic surgery many children seem to receive less analgesia than needed or ineffective analgesic drug regimes.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

★ PREMIUM-INHALT
e.Med Interdisziplinär

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de. Zusätzlich können Sie eine Zeitschrift Ihrer Wahl in gedruckter Form beziehen – ohne Aufpreis.

Weitere Produktempfehlungen anzeigen
Zusatzmaterial
Supplementary material 1 (PDF 30 kb) Suppl. Fig. 1. Histogram of the age distribution of the children who did not understand all QUIPSI questions (green) and of the children who understood all questions (blue)
405_2014_2914_MOESM1_ESM.pdf
Supplementary material 2 (JPEG 28 kb)
405_2014_2914_MOESM2_ESM.jpg
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 7/2014

European Archives of Oto-Rhino-Laryngology 7/2014 Zur Ausgabe
  1. Sie können e.Med HNO 14 Tage kostenlos testen (keine Print-Zeitschrift enthalten). Der Test läuft automatisch und formlos aus. Es kann nur einmal getestet werden.

Neu im Fachgebiet HNO

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update HNO und bleiben Sie gut informiert – ganz bequem per eMail.

Bildnachweise