Journal of Pediatric Nursing
Volume 12, Issue 3 , Pages 178-185 , June 1997

Inadequate pain management and associated morbidity in children at home after tonsillectomy

    RN, PhD
  • Kimberly A. Sutters

      Affiliations

    • Valley Children's Hospital, Fresno, CA USA
    • Department of Physiological Nursing, University of California, San Francisco, CA USA
    • , RN, PhD, FAAN
  • Christine Miaskowski

      Affiliations

    • Valley Children's Hospital, Fresno, CA USA
    • Department of Physiological Nursing, University of California, San Francisco, CA USA
    • Corresponding Author InformationAddress reprint requests to Christine Miaskowski, RN, PhD, FAAN, Professor and Chair, Department of Physiological Nursing, University of California, Box 0610-N611Y, San Francisco, CA 94143-0610.

References 

  1. AHCPR Pub. No. 92-0032 Acute Pain Guideline Panel . In: Acute Pain Management: Operative or Medical Procedures and Trauma. Clinical Practice Guideline. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, U.S. Department of Health and Human Services; 1992;
  2. Astfalk W, Warth H, Leriche C. Day case surgery in childhood from the parent's point of view. European Journal of Pediatric Surgery. 1991;1(6):323–327
  3. Bogetz MS. Anesthesia for pediatric outpatient surgery. Pediatrician. 1989;16(1–2):45–55
  4. Brodsky L, Radomski K, Gendler J. The effect of postoperative instructions on recovery after tonsillectomy and adenoidectomy. International Journal of Pediatric Otorhinolaryngology. 1993;25(1–3):133–140
  5. Carabott JA, Javaheri Z, Keilty K, Manger G. Oral fluid intake in children following tonsillectomy and adenoidectomy. Pediatric Nursing. 1992;18(2):124–127
  6. Eid NS, Jones VF. Bacterial tracheitis as a complication of tonsillectomy and adenoidectomy. Journal of Pediatrics. 1994;125(3):401–402
  7. Ferrari LR, Donlon JV. Metoclopramide reduces the incidence of vomiting after tonsillectomy in children. Anesthesia & Analgesia. 1992;75(3):351–354
  8. Furst SR, Rodarte A. Prophylactic antiemetic treatment with ondansetron in children undergoing tonsillectomy. Anesthesiology. 1994;81(4):795–796
  9. Gedaly-Duff V, Ziebarth D. Mother's management of adenoid-tonsillectomy pain in 4- to 8-year-olds: A preliminary study. Pain. 1994;57(3):293–299
  10. Jebeles JA, Reilly JS, Gutierrez JF, Bradley EL, Kissin I. The effect of pre-incisional infiltration of tonsils with bupivacaine on the pain following tonsillectomy under general anesthesia. Pain. 1991;47(3):305–308
  11. Jebeles JA, Reilly JS, Gutierrez JF, Bradley EL, Kissin I. Tonsillectomy and adenoidectomy pain reduction by local bupivacaine infiltration in children. International Journal of Pediatric Otorhinolaryngology. 1993;25(1–3):149–154
  12. Kang J, Brodsky L, Danziger I, Volk M, Stanievich J. Coagulation profile as a predictor for post-tonsillectomy and adenoidectomy (T+A) hemorrhage. International Journal of Pediatric Otorhinolaryngology. 1994;28(2–3):157–165
  13. Kendrick D, Gibbin K. An audit of the complications of pediatric tonsillectomy, adenoidectomy, and adenotonsillectomy. Clinical Otolaryngology. 1993;18(2):115–117
  14. Klausner RD, Tom LW, Schindler PD, Potsic WP. Depression in children after tonsillectomy. Archives of Otolaryngology—Head and Neck Surgery. 1995;121(1):105–108
  15. Linden BE, Gross CW, Long TE, Lazar RH. Morbidity in pediatric tonsillectomy. Laryngoscope. 1990;100:120–124
  16. Nardone PL, Schuchard B. Parental pain perception of the same-day surgery pediatric patient. Journal of Nursing Quality Assurance. 1991;5(3):59–64
  17. Pandit UA, Malviya S, Lewis IH. Vomiting after outpatient tonsillectomy and adenoidectomy in children: The role of nitrous oxide. Anesthesia & Analgesia. 1995;80(2):230–233
  18. Roberts C, Jayaramachandran S, Raine CH. A prospective study of factors which may predispose to postoperative tonsillar fossa haemorrhage. Clinical Otolaryngology. 1992;17(1):13–17
  19. Rusy LM, Houck CS, Sullivan LJ, Ohlms LA, Jones DT, McGill TJ, et al. A double-blind evaluation of ketorolac tromethamine versus acetaminophen in pediatric tonsillectomy: Analgesia and bleeding. Anesthesia & Analgesia. 1995;80(2):226–229
  20. Schloss MD, Tan AK, Schloss B, Tewfik TL. Outpatient tonsillectomy and adenoidectomy: Complications and recommendations. International Journal of Pediatric Otorhinolaryngology. 1994;30:115–122
  21. Schmitt DB, Berman S. Ear, nose, and throat. In:  Kempe CH,  Silver HK,  O'Brien D,  Fulginiti VA editor. Current pediatric diagnosis and treatment. New York: Appleton-Century-Crofts; 1987;p. 308–340
  22. Schofield NM, White JB. Interrelations among children, parents, premedication, and anaesthetists in pediatric day stay surgery. British Medicine Journal. 1989;299:1371–1375
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  24. Spicher CM, Yund C. Effects of preadmission preparation on compliance with home care instructions. Journal of Pediatric Nursing. 1989;4(4):255–262
  25. Sutters KA, Levine JD, Dibble S, Savedra M, Miaskowski C. Analgesic efficacy and safety of single-dose intramuscular ketorolac for postoperative pain management in children following tonsillectomy. Pain. 1995;61:145–153

+ Supported by research grants from the American Nurses Foundation; Alpha Eta and Alpha Gamma Chapters of Sigma Theta Tau Internationa; the Graduate Student Research Award from the University of California, San Francisco, School of Nursing Century Club Funds; the Purdue Frederick Company; Novametrixs Medical Systems; and Critikon Corporation.

PII: S0882-5963(97)80075-9

Journal of Pediatric Nursing
Volume 12, Issue 3 , Pages 178-185 , June 1997

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