Effective postoperative pain management in children after ambulatory surgery, with a focus on tonsillectomy: barriers and possible solutions
Mariana C Dorkham, George A Chalkiadis, Britta S von Ungern Sternberg, Andrew J Davidson
PEDIATRIC ANESTHESIA | WILEY | Published : 2014
Pain following ambulatory surgery is often poorly managed at home. Certain procedures, such as tonsillectomy, cause high levels of pain for at least 1 week postoperatively. This impacts significantly on recovery and postoperative morbidity with regards to oral intake, sleep, and behavior. Barriers to effective postoperative pain management at home following discharge have been investigated and incorporate: parental factors, such as the ability to recognize and assess their child's pain, and misconceptions about analgesics; child factors, such as refusal to take medication; medication factors, such as ineffective medication or inadequate formulation or dose of analgesics; and system factors, ..View full abstract
The authors would like to acknowledge the support of the John Harriott Bachelor of Medical Science Scholarship in Honour of Professor Mary Lockett. This research was carried out without funding.