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Abstract

EFFECTIVENESS OF ANALGESIA IN YOUNG CHILDREN POST TONSILLECTOMY- CASE STUDY AFRICA HOSPITAL

Banan M. Abbas, Nuha M. E. Agabna* and Sayed Halaly

ABSTRACT

Tonsillectomy is one of the most frequently performed ambulatory
surgical procedures; it may result in severe pain postoperatively. This
pain has negative impact on the patient's well being, and may also
impair swallowing, leading to an increased risk of secondary
infections, bleeding, and dehydration. Different analgesics can be used
to reduce pain post operatively e.g. NSAIDs and paracetamol. This
study aimed to assess the effectiveness and safety of analgesics used
for management of post operative pain in young patients undergoing
tonsillectomy. The study included 80 patients admitted to Africa
Specialized Hospital at Khartoum State, Sudan, between November to
December 2017. The data were collected using information sheet and then analyzed using
(SPSS version 24). The majority of patients (51.3%) were school aged (6-12 years). The
population was equally divided between boys and girls. The whole population used nonsteroidal
anti-inflammatory drugs (NSAIDs) (70% used ibuprofen syrup) for analgesia except
the asthmatics were given paracetamol. Pain score immediately after surgery and two hours
after ranged from mild 36.5% to moderate 40%, only 5% were free from pain. The majority
of children (86.3%) experienced pain on swallowing after surgery and 96.3% 2hrs later. Pain
assessment after a week from the procedure showed that 78.7% of patients were free from
pain. There were significant association between dosage forms, age and pain score. The
incidence of nausea, vomiting and bleeding was less frequent in the population indicating
safety of analgesics used.

Keywords: Tonsillectomy, pain, analgesic, NSAIDs, ibuprofen, paracetamol.


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