Abstract
CLINICAL EVALUATION OF PAIN AFTER TONSILLECTOMY IN CHILDREN

Randrianarivelo Hariniaina JA, Andriamampionona Ginnot B.*, Razanakoto Georges FA, Rakotoarisoa AHN and Rakoto FA

ABSTRACT

Introduction: Pain is a feeling of discomfort associated with the entanglement of several phenomenons. The ob-jective of this study was to assess post-tonsillectomy pain and comfort in children. Patients and method: this is a prospective observational descriptive study on children under 15 years of age hospitalized in the Oto-Rhino-Laryngology department at the Soavinandriana Hospital Center (CENHOSOA) Antananarivo Madagascar for tonsillectomy from 1st February 2016 to 31 July 2016. Results: The level of pain was higher in children aged 7 to 14 years. There was no difference in the perception of pain based on gender. During hospitalization, mild pain prevailed in children over 7 years of age (64.27%) and moderate in children aged 7 to 14 years (62.14%). The onset of postoperative nausea and vomiting was objectified in 4% of children during the first 6 hours’ post-operative. Association with adenoidectomy (40%) increased pain in children 7 years of age. Half of the children had maximum comfort at the end of the hospitalization. Conclusion: Thus, for a better post-operative manage-ment of tonsillectomy, the evaluation of pain and post-operative comfort should be systematic and rigorous in order to adapt the analgesic treatment according to the level of pain and the quality of post-operative comfort.

Keywords: Analgesics, Children, Pain, Tonsillectomy.


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