Children, postoperative pain, tonsillectomy/adenotonsillectomy, behavior Kinderen, postoperatieve pijn na tonsillectomie/adenotosillectomie
Conditions
Interventions
Observational - none.
Sponsors
Dienst Anesthesie & Reanimatie
ZNA Middelheim
Lindendreef 1
2020 Antwerpen
Belgie
Eligibility
Inclusion criteria
Inclusion criteria: 1. From 6 to and including 12 years old; 2. Surgery: tonsillectomy or combined adenotonsillectomy; 3. Information and consent forms and assent form explained to the child; 4. Accompanying parent present at induction; 5. Parents who speak and understand Dutch; 6. No premedication (the norm in Queen Paola Children’s Hospital).
Exclusion criteria
Exclusion criteria: 1. Known mental/cognitive retardation; 2. American Society Anesthesiologists ASA physical status > II; 3. Children with objectified obstructive sleep apnea syndrome; 4. Children with BMI > 25; 5. Allergic reaction to sevoflurane and/or risk of malign hyperthermia. Secundary exclusion criteria: 1. When parent or child no longer wish to participate; 2. When a life-threatening situation occurs during the procedure (f.i. asystole); 3. When re-intervention is required as a result from subsequent bleeding; 4. When the child has to be admitted because of constant nausea/vomiting.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. The scores of the Parents’ Postoperative Pain Measure (PPMPaccompanying parent) during three days postoperative; 2. Assessment of the pain scores by the child and the parent by means of a Colored-Visual Analogue Scale (CA-VASchild-pain-at home) and Visual Analogue Scale (VAS parent-child-pain-at home) for the accompanying parent during three days postoperative and day ten. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The pain scores of the child and the accompanying parent in the postoperative day care and by means of a Colored-Visual Analogue Scale (CA-VASchild-pain-in-hospital) and Visual Analogue Scale (VASparent-child-pain-in-hospital) for the parent; 2. The pain scores measured by the FLACCnurse; 3. The total administration of analgesics at home (as noted in the diary) during three days postoperative. | — |
Contacts
Public ContactM. Vel, de
ZNA Koningin Paola Kinderziekenhuis Lindendreef 1
Outcome results
None listed