Early Postoperative Outcomes in Children After Adenotonsillectomy
Children undergoing tonsillectomy remain at risk for postoperative pain, respiratory depression, and postoperative nausea and vomiting (PONV), presenting unique challenges for the postanesthesia nurse. This prospective, observational study examined the relationships between and factors contributing...
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| Veröffentlicht in: | Journal of perianesthesia nursing 2011-04, Vol.26 (2), p.89-95 |
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| container_title | Journal of perianesthesia nursing |
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| creator | Hadden, Sue M. Burke, Constance N. Skotcher, Sally Voepel-Lewis, Terri |
| description | Children undergoing tonsillectomy remain at risk for postoperative pain, respiratory depression, and postoperative nausea and vomiting (PONV), presenting unique challenges for the postanesthesia nurse. This prospective, observational study examined the relationships between and factors contributing to these outcomes in 102 children after tonsillectomy. All children received an intraoperative opioid and one or more antiemetics. The majority (67%) experienced moderate to severe pain, 27% experienced a respiratory event, and 7% had PONV. Children with moderate to severe pain received similar intraoperative opioid dosages, increased postoperative opioids (
P < 0.05), and had longer PACU stays (
P < 0.05) compared to those with no to mild pain. Respiratory events were not associated with age, sleep-disordered breathing, or opioid use. This study suggests that children undergoing tonsillectomy experience significant pain and respiratory events. Further study examining nonopioid treatments are warranted to determine the best practices for this high-risk group of children. |
| doi_str_mv | 10.1016/j.jopan.2011.01.011 |
| format | Article |
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P < 0.05), and had longer PACU stays (
P < 0.05) compared to those with no to mild pain. Respiratory events were not associated with age, sleep-disordered breathing, or opioid use. This study suggests that children undergoing tonsillectomy experience significant pain and respiratory events. Further study examining nonopioid treatments are warranted to determine the best practices for this high-risk group of children.</description><identifier>ISSN: 1089-9472</identifier><identifier>EISSN: 1532-8473</identifier><identifier>DOI: 10.1016/j.jopan.2011.01.011</identifier><identifier>PMID: 21402282</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adenoidectomy ; Adolescent ; Analgesics, Opioid - administration & dosage ; Antiemetics - administration & dosage ; Child ; Child, Preschool ; Female ; Humans ; Intraoperative Care ; Male ; Nursing ; pain ; Pain, Postoperative - prevention & control ; postoperative complications ; postoperative nausea and vomiting ; Postoperative Nausea and Vomiting - prevention & control ; Postoperative Period ; respiratory depression ; Tonsillectomy</subject><ispartof>Journal of perianesthesia nursing, 2011-04, Vol.26 (2), p.89-95</ispartof><rights>2011 American Society of PeriAnesthesia Nurses</rights><rights>Copyright © 2011 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-8c56f3a3dc5cab35f3e26d0662b4f636e9148cb14f0b93c9cc8d7b9fda3da7f63</citedby><cites>FETCH-LOGICAL-c390t-8c56f3a3dc5cab35f3e26d0662b4f636e9148cb14f0b93c9cc8d7b9fda3da7f63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jopan.2011.01.011$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3541,27915,27916,45986</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21402282$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hadden, Sue M.</creatorcontrib><creatorcontrib>Burke, Constance N.</creatorcontrib><creatorcontrib>Skotcher, Sally</creatorcontrib><creatorcontrib>Voepel-Lewis, Terri</creatorcontrib><title>Early Postoperative Outcomes in Children After Adenotonsillectomy</title><title>Journal of perianesthesia nursing</title><addtitle>J Perianesth Nurs</addtitle><description>Children undergoing tonsillectomy remain at risk for postoperative pain, respiratory depression, and postoperative nausea and vomiting (PONV), presenting unique challenges for the postanesthesia nurse. This prospective, observational study examined the relationships between and factors contributing to these outcomes in 102 children after tonsillectomy. All children received an intraoperative opioid and one or more antiemetics. The majority (67%) experienced moderate to severe pain, 27% experienced a respiratory event, and 7% had PONV. Children with moderate to severe pain received similar intraoperative opioid dosages, increased postoperative opioids (
P < 0.05), and had longer PACU stays (
P < 0.05) compared to those with no to mild pain. Respiratory events were not associated with age, sleep-disordered breathing, or opioid use. This study suggests that children undergoing tonsillectomy experience significant pain and respiratory events. Further study examining nonopioid treatments are warranted to determine the best practices for this high-risk group of children.</description><subject>Adenoidectomy</subject><subject>Adolescent</subject><subject>Analgesics, Opioid - administration & dosage</subject><subject>Antiemetics - administration & dosage</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Humans</subject><subject>Intraoperative Care</subject><subject>Male</subject><subject>Nursing</subject><subject>pain</subject><subject>Pain, Postoperative - prevention & control</subject><subject>postoperative complications</subject><subject>postoperative nausea and vomiting</subject><subject>Postoperative Nausea and Vomiting - prevention & control</subject><subject>Postoperative Period</subject><subject>respiratory depression</subject><subject>Tonsillectomy</subject><issn>1089-9472</issn><issn>1532-8473</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtKxDAUhoMozjj6BIJ056o1l16ShYsyjBcYGBe6DmlyiiltU5POwLy9HUddKhw4Z_H9_4EPoWuCE4JJftckjRtUn1BMSIIPQ07QnGSMxjwt2Ol0Yy5ikRZ0hi5CaDDGjApxjmaUpJhSTueoXCnf7qMXF0Y3gFej3UG02Y7adRAi20fLd9saD31U1iP4qDTQu9H1wbYt6NF1-0t0Vqs2wNX3XqC3h9Xr8ilebx6fl-U61kzgMeY6y2ummNGZVhXLagY0NzjPaZXWOctBkJTriqQ1rgTTQmtuikrUZoqoYiIW6PbYO3j3sYUwys4GDW2renDbIHlBcJoXnP1PZgXlgmV8ItmR1N6F4KGWg7ed8ntJsDxIlo38kiwPkiU-DJlSN9_926oD85v5sToB90cAJh87C14GbaHXYKyfpEnj7J8PPgHwzI8T</recordid><startdate>20110401</startdate><enddate>20110401</enddate><creator>Hadden, Sue M.</creator><creator>Burke, Constance N.</creator><creator>Skotcher, Sally</creator><creator>Voepel-Lewis, Terri</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>20110401</creationdate><title>Early Postoperative Outcomes in Children After Adenotonsillectomy</title><author>Hadden, Sue M. ; Burke, Constance N. ; Skotcher, Sally ; Voepel-Lewis, Terri</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-8c56f3a3dc5cab35f3e26d0662b4f636e9148cb14f0b93c9cc8d7b9fda3da7f63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adenoidectomy</topic><topic>Adolescent</topic><topic>Analgesics, Opioid - administration & dosage</topic><topic>Antiemetics - administration & dosage</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Humans</topic><topic>Intraoperative Care</topic><topic>Male</topic><topic>Nursing</topic><topic>pain</topic><topic>Pain, Postoperative - prevention & control</topic><topic>postoperative complications</topic><topic>postoperative nausea and vomiting</topic><topic>Postoperative Nausea and Vomiting - prevention & control</topic><topic>Postoperative Period</topic><topic>respiratory depression</topic><topic>Tonsillectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hadden, Sue M.</creatorcontrib><creatorcontrib>Burke, Constance N.</creatorcontrib><creatorcontrib>Skotcher, Sally</creatorcontrib><creatorcontrib>Voepel-Lewis, Terri</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Journal of perianesthesia nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hadden, Sue M.</au><au>Burke, Constance N.</au><au>Skotcher, Sally</au><au>Voepel-Lewis, Terri</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early Postoperative Outcomes in Children After Adenotonsillectomy</atitle><jtitle>Journal of perianesthesia nursing</jtitle><addtitle>J Perianesth Nurs</addtitle><date>2011-04-01</date><risdate>2011</risdate><volume>26</volume><issue>2</issue><spage>89</spage><epage>95</epage><pages>89-95</pages><issn>1089-9472</issn><eissn>1532-8473</eissn><abstract>Children undergoing tonsillectomy remain at risk for postoperative pain, respiratory depression, and postoperative nausea and vomiting (PONV), presenting unique challenges for the postanesthesia nurse. 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P < 0.05), and had longer PACU stays (
P < 0.05) compared to those with no to mild pain. Respiratory events were not associated with age, sleep-disordered breathing, or opioid use. This study suggests that children undergoing tonsillectomy experience significant pain and respiratory events. Further study examining nonopioid treatments are warranted to determine the best practices for this high-risk group of children.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>21402282</pmid><doi>10.1016/j.jopan.2011.01.011</doi><tpages>7</tpages></addata></record> |
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| ispartof | Journal of perianesthesia nursing, 2011-04, Vol.26 (2), p.89-95 |
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| source | Elsevier ScienceDirect Journals Complete - AutoHoldings; MEDLINE |
| subjects | Adenoidectomy Adolescent Analgesics, Opioid - administration & dosage Antiemetics - administration & dosage Child Child, Preschool Female Humans Intraoperative Care Male Nursing pain Pain, Postoperative - prevention & control postoperative complications postoperative nausea and vomiting Postoperative Nausea and Vomiting - prevention & control Postoperative Period respiratory depression Tonsillectomy |
| title | Early Postoperative Outcomes in Children After Adenotonsillectomy |
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