IJOHNS  Vol.2 No.4 , July 2013
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.

Cite this paper: 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.

[1]   Royal College of Surgeons of England/British Association of Otorhinolaryngologists, “National Prospective Tonsillectomy Audit,” 2005.

[2]   D. W. Stewart, P. G. Ragg, S. Sheppard and G. A. Chalkiadis, “The Severity and Duration of Postoperative Pain and Analgesia Requirements in Children after Tonsillectomy, Orchidopexy, or Inguinal Hernia Repair,” Paediatric Anaesthesia, Vol. 22, No. 2, 2012, pp. 136-143. doi:10.1111/j.1460-9592.2011.03713.x

[3]   J. J. Homer, J. D. Frewer, J. Swallow and P. Semple, “An Audit of Post-Operative Analgesia in Children Following Tonsillectomy,” The Journal of Laryngology and Otology, Vol. 116, No. 5, 2002, pp. 367-370. doi:10.1258/0022215021910807

[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.