Analgesia after tonsillectomy with controlled intravenous morphine - overdue or exaggerated?
Braz. j. otorhinolaryngol. (Impr.)
;
89(1): 48-53, Jan.-Feb. 2023. tab, graf
Article
in English
|
LILACS-Express
| LILACS
| ID: biblio-1420918
ABSTRACT
Abstract Objective:
To assess the value of a morphine Patient Controlled Intravenous Analgesia (PCIA) after Tonsillectomies (TE).Methods:
30 adult patients were treated with oral analgesics (protocol group) and compared to 30 patients treated with a morphine PCIA for the first 3 Postoperative Days (PODs) after TE. Average and maximum pain severities (Numeric Rating Scale - NRS 0-10) on PODs 1-3, analgesic score, quality of life, patient satisfaction and side effects were defined as outcome measures.Results:
Average pain severities of the protocol and the PCIA group were of similar magnitude (NRS) (POD1 4.48 vs. 4.71 [p = 0.68], POD2 4.75 vs. 4.22 [p = 0.32] and POD3 4.44 vs. 4.25 [p = 0.71]). Maximum pain intensities on POD1 (p = 0.92), POD2 (p = 0.51) and POD3 (p = 0.36) were also comparable between both groups. Patients with a PCIA consumed significantly more opioids (p = 0.001) without significant more side-effects.Conclusion:
The PCIA did not provide a superior pain control compared to oral analgesics. In view of the considerable effort and the high opioid consumption, it cannot be recommended as a standardized application for pain control after TE.
Full text:
Available
Index:
LILACS (Americas)
Language:
English
Journal:
Braz. j. otorhinolaryngol. (Impr.)
Journal subject:
Otolaryngology
Year:
2023
Type:
Article
Affiliation country:
Germany
Institution/Affiliation country:
Malteser Waldkrankenhaus St. Marien/DE
/
Uniklinik Koeln/DE
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