Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 2 de 2
Filter
Add more filters










Database
Language
Publication year range
1.
Eur Ann Otorhinolaryngol Head Neck Dis ; 131(4): 233-8, 2014 Sep.
Article in English | MEDLINE | ID: mdl-25106698

ABSTRACT

The authors present the guidelines of the French Oto-rhino-laryngology--Head and Neck Surgery Society (SFORL) regarding pain management in children and adults following tonsillectomy. A multidisciplinary work group was entrusted with a literature review. Guidelines were drawn up based on the articles retrieved and the group members' experience. They were read over by an editorial group independent of the work group. A coordination meeting drew up the final version. Guidelines were graded A, B or C or as professional agreement in decreasing order of level of evidence. At home, non-steroid anti-inflammatory drugs (NSAIDs) are recommended in association with paracetamol in elevated respiratory risk and especially obstructive sleep apnea syndrome; in elevated hemorrhagic risk (hemostasis disorder, surgical problems, etc.), tramadol is recommended. Two other treatment schedules (modified NSAIDs and corticosteroids) have not undergone dedicated study and should be assessed. Management of post-tonsillectomy pain in children is founded on individual risk/benefit analysis.


Subject(s)
Analgesics/therapeutic use , Codeine/therapeutic use , Pain Management/standards , Pain, Postoperative/drug therapy , Tonsillectomy/adverse effects , Child , Child, Preschool , Humans , Infant , Risk Assessment
2.
Eur Ann Otorhinolaryngol Head Neck Dis ; 131(4): 227-32, 2014 Sep.
Article in English | MEDLINE | ID: mdl-25106699

ABSTRACT

OBJECTIVES: The present clinical practice guidelines cover the entire field of management of post-tonsillectomy pain. Given the French and European regulatory restrictions on the use of codeine, an update appears necessary to clarify the management of post-tonsillectomy pain in adults. METHOD: A work group approached the issue of pain management, following the chronological pathway from initial consultation to postoperative period. As exhaustive a study of the literature as possible assessed the pain impact of the various surgical techniques and the efficacy of the various analgesia schedules. RESULTS: Guidelines on the management of post-tonsillectomy pain in adults were drawn up and graded, based on the levels of evidence of selected articles and on work group consensus. The guidelines stress the importance of patient information and seek to harmonize practice, reduce the risk of postoperative complications and above all improve control of post-tonsillectomy pain in adults.


Subject(s)
Pain Management/standards , Pain, Postoperative/etiology , Pain, Postoperative/therapy , Tonsillectomy/adverse effects , Adult , Humans
SELECTION OF CITATIONS
SEARCH DETAIL