Tonsillectomy

Publication Title: 
British Journal of Anaesthesia

Postoperative vomiting (POV) remains one of the commonest causes of significant morbidity after tonsillectomy in children. A variety of prophylactic anti-emetic interventions have been reported, but there has only been a limited systematic review in this patient group. A systematic search was performed by using Cochrane Controlled Trials Register, MEDLINE and EMBASE to identify double-blind, randomized, placebo-controlled trials of prophylactic anti-emetic interventions in children undergoing tonsillectomy, with or without adenoidectomy. The outcome of interest was POV in the first 24 h.

Author(s): 
Bolton, C. M.
Myles, P. S.
Nolan, T.
Sterne, J. A.
Publication Title: 
British Journal of Anaesthesia

Postoperative vomiting (POV) remains one of the commonest causes of significant morbidity after tonsillectomy in children. A variety of prophylactic anti-emetic interventions have been reported, but there has only been a limited systematic review in this patient group. A systematic search was performed by using Cochrane Controlled Trials Register, MEDLINE and EMBASE to identify double-blind, randomized, placebo-controlled trials of prophylactic anti-emetic interventions in children undergoing tonsillectomy, with or without adenoidectomy. The outcome of interest was POV in the first 24 h.

Author(s): 
Bolton, C. M.
Myles, P. S.
Nolan, T.
Sterne, J. A.
Publication Title: 
The Laryngoscope

OBJECTIVES: Acupuncture has been shown to reduce pain, nausea, and vomiting. However, its use alongside surgical interventions remains a novel practice, despite the increasing applications of alternative medicine. The goal of this meta-analysis was to perform a systematic review of the literature addressing the effect of acupuncture on postoperative pain, nausea, and vomiting following tonsillectomy. DATA SOURCES: MEDLINE, SCOPUS, and Cochrane database. METHODS: Two authors independently searched the databases from the inception of article collection until June 2015.

Author(s): 
Cho, Hye Kyung
Park, In Joon
Jeong, Yeon Min
Lee, Yeon Ji
Hwang, Se Hwan
Publication Title: 
The Laryngoscope

OBJECTIVES/HYPOTHESIS: Tonsillectomy is one of the most frequently performed pediatric surgical procedures worldwide. The complications of this procedure include postoperative nausea and vomiting (PONV) and pain; therefore, both the treatment and prevention of PONV are important. Classical antiemetics include drug therapies such as ondansetron, which are undesirable because they often carry a high cost and several side effects. Therefore, in this study we aimed to evaluate the antiemetic effect of acupuncture after pediatric tonsillectomy.

Author(s): 
Shin, Hwang Cheol
Kim, Jong Seung
Lee, Sang Kyi
Kwon, Sam Hyun
Kim, Min Su
Lee, Eun Jung
Yoon, Yong Joo
Publication Title: 
Medicina, Cirurgia, Farmácia
Author(s): 
Monteiro, A. R.
De Oliveira, D. S.
Publication Title: 
International Journal of Pediatric Otorhinolaryngology

OBJECTIVE: To evaluate the effect of aromatherapy with Lavandula angustifolia essential oil on post-tonsillectomy pain in pediatric patients. METHODS: This was a randomized controlled prospective clinical trial. In this study, 48 post-tonsillectomy patients aged 6-12 years were randomly assigned to two groups (24 patients in each group). After tonsillectomy surgery, all patients received acetaminophen (10-15 mg/kg/dose, PO) every 6h as necessary to relieve pain. The patients of the case group also inhaled lavender essential oil.

Author(s): 
Soltani, Rasool
Soheilipour, Saeed
Hajhashemi, Valiollah
Asghari, Gholamreza
Bagheri, Mahdi
Molavi, Mahdi
Publication Title: 
Anesthesiology

BACKGROUND: Acupuncture or acupressure at the Nei-Guan (P.6) point on the wrist produces antiemetic effects in awake but not anesthetized patients. The authors studied whether a combined approach using preoperative acupressure and intra- and postoperative acupuncture can prevent emesis following tonsillectomy in children. METHODS: Patients 2-12 yr of age were randomly assigned to study or placebo groups.

Author(s): 
Shenkman, Z.
Holzman, R. S.
Kim, C.
Ferrari, L. R.
DiCanzio, J.
Highfield, E. S.
Van Keuren, K.
Kaptchuk, T.
Kenna, M. A.
Berde, C. B.
Rockoff, M. A.
Publication Title: 
British Journal of Anaesthesia

Postoperative vomiting (POV) remains one of the commonest causes of significant morbidity after tonsillectomy in children. A variety of prophylactic anti-emetic interventions have been reported, but there has only been a limited systematic review in this patient group. A systematic search was performed by using Cochrane Controlled Trials Register, MEDLINE and EMBASE to identify double-blind, randomized, placebo-controlled trials of prophylactic anti-emetic interventions in children undergoing tonsillectomy, with or without adenoidectomy. The outcome of interest was POV in the first 24 h.

Author(s): 
Bolton, C. M.
Myles, P. S.
Nolan, T.
Sterne, J. A.
Publication Title: 
International Journal of Pediatric Otorhinolaryngology

OBJECTIVES: Severe throat pain can result from tonsillectomy and last up to 10 days in children. Codeine elixir has long been used for pain relief, but has recently been banned by the Food and Drug Administration due to a recently recognized risk of death. We explored acupuncture as an alternative means of pain relief for children and adolescents after tonsillectomy. METHODS: This was a retrospective review of children and adolescents who underwent tonsillectomy over a three-month period. No narcotics were prescribed after surgery.

Author(s): 
Ochi, James W.
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