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Analgesia following adenotonsillar surgical procedure in kids: is Oramorph required along with paracetamol and ibuprofen?

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Analgesia following adenotonsillar surgical procedure in kids: is Oramorph required along with paracetamol and ibuprofen?

Eur Ann Otorhinolaryngol Head Neck Dis. 2017 Feb;134(1):23-25

Authors: Wei Chern Gan R, Kamani T, Daniel M

Summary
BACKGROUND: Latest recommendation towards codeine use in kids prompted our unit to prescribe Oramorph as required, along with common paracetamol and ibuprofen, as post-(adeno)tonsillectomy analgesia. This research investigated whether or not Oramorph was in truth required.
METHODS: Following (adeno)tonsillectomy, dad and mom had been telephoned and requested whether or not they used Oramorph.
RESULTS: Of 56 kids studied, 41 (73.2%) got Oramorph. Within the 15 (26.eight%) that weren’t, this was as a result of dad and mom felt it was not required in 14 kids, and in 1 case, it was as a result of worries about negative effects. General, 14 carers (25.zero%) expressed issues about Oramorph use, largely over doable negative effects.
CONCLUSION: When common paracetamol and ibuprofen are used post-(adeno)tonsillectomy, almost three quarters of kids require Oramorph as effectively. Prescribing Oramorph as required, along with common paracetamol and ibuprofen, is acceptable following adenotonsillar surgical procedure.

PMID: 27865914 [PubMed – indexed for MEDLINE]

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