Pain Management after Tonsillectomy without Codeine. (23rd August 2013)

• Record Type: Journal Article
• Authors: Tunkel, David E.; Messner, Anna H.; Lauder, Gillian; Lin, Sandra Y.; April, Max M.; Cofer, Shelagh A.
• Is Part Of: Otolaryngology--head and neck surgery. Volume 149(2013)Supplement 2
• Page Start: P27
• Page End: P27
• Publication Date: 2013-08-23
• Subjects: Head -- Surgery -- Periodicals; Neck -- Surgery -- Periodicals; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1177/0194599813493390a72
• Languages: English
• ISSNs: 0194-5998

Abstract

Abstract : Program Description: Tonsillectomy is a painful procedure. Management of pain is more problematic with recent reports of deaths associated with codeine use and the potential for acetaminophen toxicity. We will discuss opiate sensitivity associated with childhood OSA, genetic variations in narcotic metabolism in children, and the use of non‐steroidal anti‐inflammatory drugs. We will present tonsillectomy techniques that may reduce the need for analgesics. Panelists will include general and pediatric otolaryngologists and a pediatric pain specialist, with short presentations and case discussions. Educational Objectives: 1) Describe relative effectiveness and potential morbidities associated with narcotic use in children after adenotonsillectomy. 2) Use a safe and effective approach for pain control in children after adenotonsillectomy, including the use of narcotics and nonsteroidal anti‐inflammatory drugs. 3) Analyze surgical techniques and postoperative treatments that could help with management of pain after tonsillectomy.