Analgesia following adenotonsillar surgery in children: is Oramorph required in addition to paracetamol and ibuprofen?

作者：Gan R Wei Chern^*; Kamani T; Daniel M

来源：European Annals of Otorhinolaryngology, Head and Neck Diseases, 2017, 134(1): 23-25.

DOI：10.1016/j.anort.2016.03.008

• Adenoidectomy
• Tonsillectomy
• Analgesia Pain
• Child
• Otolaryngology
• Morphine

Background: Recent advice against codeine use in children prompted our unit to prescribe Oramorph as required, in addition to regular paracetamol and ibuprofen, as post-(adeno)tonsillectomy analgesia. This study investigated whether Oramorph was in fact required.
Methods: Following (adeno)tonsillectomy, parents were telephoned and asked whether they used Oramorph.
Results: Of 56 children studied, 41 (73.2%) were given Oramorph. In the 15 (26.8%) that were not, this was because parents felt it was not required in 14 children, and in 1 case, it was due to worries about side effects. Overall, 14 carers (25.0%) expressed concerns about Oramorph use, mostly over possible side effects.
Conclusion: When regular paracetamol and ibuprofen are used post-(adeno)tonsillectomy, nearly three quarters of children require Oramorph as well. Prescribing Oramorph as required, in addition to regular paracetamol and ibuprofen, is appropriate following adenotonsillar surgery.

• 出版日期2017-2