Nora Šiupšinskienė
Abstract
tonsillectomy, uvulopalatopharyngoplasty, pain reduction, systemic analgesic, topical medicine. Pharyngeal surgery, including tonsillectomy and uvulopalatopharyngoplasty, are one of the most frequent performed procedures in otorhinolaryngology. Pain remains the main cause of morbidity in the postoperative period. Reduction of post-operative pain is actual problem for patients, doctors and nurses. The aim of this article was to review the efficacy of the systemic and topical analgesics for the treatment of post-operative throat pain. Methods: literature search in Pub Med, MEDLINE, EMBASE databases during 2000 – 2010 period with the key words of post-tonsillectomy pain, reduction of post-operative throat pain, oral analgesics, topical anaesthetics, sucralfate, surgery nursing. 24 systematic reviews of currently available randomized controlled trials and meta-analyses were included. Also results of Lithuanian studies were reviewed. Conclusions: Post-operative pain control should include complex of measures. During first 24 hours, hydration is recommended. Oral analgesics, mainly use of nonsteroidal anti-inflammatory drugs, should advocate for pain management. Fixed schedule for pain killers could be recommended as well as dosing the medication as needed. Clinicians should administer a single, intraoperative dose of intravenous dexamethasone to adult patients and children undergoing tonsillectomy
or uvulopalatopharyngoplasty. Topical sucralfate and Faringo-Spray could be the methods of choice for providing additional postoperative analgesia during first week after operation.
Keyword(s): tonsillectomy, uvulopalatopharyngoplasty, pain reduction, systemic analgesic, topical medicine.
DOI: 10.5200/224
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