Analgesic Regimen and Readmission Following Tonsillectomy


Objective: To define the analgesic regimen given following tonsillectomy in a large ENT department and correlate this with readmission for secondary complications. Methods: We performed a retrospective case note review of patients undergoing tonsillectomy within a six month period. Demographic information and relevant case information was collected including operative details, discharge medication and readmission details. Results: 125 patients underwent tonsillectomy during the period. 17 different post-operative analgesic regimens were identified with the most common being a paracetamol and ibuprofen combination (26.4%). 13 patients (10.4%) were readmitted following discharge from hospital post-operatively, four (3.2%) for issues related to pain. There was no correlation between analgesic regimens and readmission. Conclusion: No apparent link between readmission and analgesic regimen was identified. The vast variation of analgesic regimens used has prompted development of a formal step-based analgesic protocol.

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L. Kishikova, M. Smith, J. Fleming and M. O’Connell, "Analgesic Regimen and Readmission Following Tonsillectomy," International Journal of Otolaryngology and Head & Neck Surgery, Vol. 2 No. 4, 2013, pp. 121-125. doi: 10.4236/ijohns.2013.24026.

Conflicts of Interest

The authors declare no conflicts of interest.


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[4] FDA Drug Safety Communication, “Codeine Use in Certain Children after Tonsillectomy and/or Adenoidectomy May Lead to Rare, but Life Threatening Adverse Events or Death,” 2013.

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