![]() Tonsillectomy and nose surgery are very painful. Analgesia and perioperative pain management in pediatric otorhinolaryngologic surgery seems to be highly variable. Multivariate analysis revealed that maximal pain was independently associated with the non-standardized use of opioids in the recovery room, or use of non-opioid or opioids on ward. The most frequent side effect was drowsiness (55%). 39% of the children reported pain interference with breathing (39%). Pain was highest after oral surgery, especially after tonsillectomy and nose surgery. ![]() Although analgesics were applied preoperatively, intraoperatively, in the recovery room and on ward, maximal pain within the first day after surgery reached 4.4 ± 3.3 (FNRS). The predominant types of surgery were adenoidectomy and tonsillectomy ± ear ventilation tubes. Half of the children were 4 or 5 years of age. Additionally, functional interference and therapy-related side effects were assessed. ![]() Using a prospective evaluation and a Web-based multi-center registry, children ≥4 years of age (n = 365) rated their pain using questionnaires of the project Quality Improvement in Postoperative Pain Treatment for Children including faces numeric rating scales (FNRS, 0-10) for the determination of patient's pain on ambulation and his/her maximal and minimal pain within 8 h after day case surgery or at the first postoperative day for inpatient cases. The purpose of this study was to describe postoperative pain within the first day after pediatric otorhinolaryngologic surgery and to identify factors influencing postoperative pain. Guntinas-Lichius, Orlando Volk, Gerd Fabian Geissler, Katharina Komann, Marcus Meissner, Winfried Pain after pediatric otorhinolaryngologic surgery: a prospective multi-center trial. ![]()
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