Application of enhanced recovery after surgery in tonsillectomy and adenoidectomy

被引:0
作者
Yao, Jingyu [1 ]
Liao, Zhenpeng [2 ]
Mi, Jiaoping [2 ]
Yang, Lukun [1 ]
机构
[1] Sun Yat Sen Univ, Affiliated Hosp 5, Dept Anesthesiol, Zhuhai 519020, Guangdong, Peoples R China
[2] Sun Yat Sen Univ, Affiliated Hosp 5, Allergy Ctr, Dept Otolaryngol Head & Neck Surg, Zhuhai, Guangdong, Peoples R China
来源
MINERVA SURGERY | 2025年
关键词
Enhanced recovery after surgery; Tonsillectomy; Adenoidectomy; Child; Postoperative pain; Hospital charges; CLINICAL-PRACTICE GUIDELINE; INFANTS; MANAGEMENT; IBUPROFEN; SAFETY; PAIN;
D O I
10.23736/S2724-5691.25.10930-1
中图分类号
R61 [外科手术学];
学科分类号
摘要
BACKGROUND: This study was to evaluate the application of ERAS in pediatric patients undergoing tonsillectomy and adenoidectomy. METHODS: Sixty patients were randomly divided into ERAS and control group. Patient outcomes, including hospital stay, operation time, bleeding volume, total cost, complications, m-YPAS, FLACC, and RSAS were observed. RESULTS: The length of hospital stay, total cost, and the incidence of postoperative nausea and vomiting in the ERAS group were significantly lower than those in the control group. The RSAS score, m-YPAS and FLACC score of the ERAS group were lower than those of the control group. CONCLUSIONS: Our study shows that the application of ERAS can reduce hospital charges and postoperative pain from tonsillectomy and adenoidectomy in children.
引用
收藏
页数:8
相关论文
共 22 条
[1]   Adoption of enhanced recovery after surgery (ERAS) strategies for colorectal surgery at academic teaching hospitals and impact on total length of hospital stay [J].
Aarts, Mary-Anne ;
Okrainec, Allan ;
Glicksman, Amy ;
Pearsall, Emily ;
Victor, J. Charles ;
McLeod, Robin S. .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2012, 26 (02) :442-450
[2]   Steroids for post-tonsillectomy pain reduction: Meta-analysis of randomized controlled trials [J].
Afman, CE ;
Welge, JA ;
Steward, DL .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2006, 134 (02) :181-186
[3]  
Amer Soc Anesthesiologists, 2006, ANESTHESIOLOGY, V104, P1081
[4]   Clinical Practice Guideline: Tonsillectomy in Children [J].
Baugh, Reginald F. ;
Archer, Sanford M. ;
Mitchell, Ron B. ;
Rosenfeld, Richard M. ;
Amin, Raouf ;
Burns, James J. ;
Darrow, David H. ;
Giordano, Terri ;
Litman, Ronald S. ;
Li, Kasey K. ;
Mannix, Mary Ellen ;
Schwartz, Richard H. ;
Setzen, Gavin ;
Wald, Ellen R. ;
Wall, Eric ;
Sandberg, Gemma ;
Patel, Milesh M. .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2011, 144 (01) :S1-S30
[5]   Single-dose dexmedetomidine reduces agitation and provides smooth extubation after pediatric adenotonsillectomy [J].
Guler, G ;
Akin, A ;
Tosun, Z ;
Ors, S ;
Esmaoglu, A ;
Boyaci, A .
PEDIATRIC ANESTHESIA, 2005, 15 (09) :762-766
[6]   Safety and benefit of pre-operative oral carbohydrate in infants: a multi-center study in China [J].
Jiang, Weiwei ;
Liu, Xiang ;
Liu, Fengli ;
Huang, Shungen ;
Yuan, Jie ;
Shi, Yingzuo ;
Chen, Huan ;
Zhang, Jie ;
Lu, Changgui ;
Li, Wei ;
Geng, Qiming ;
Xu, Xiaoqun ;
Tang, Weibing .
ASIA PACIFIC JOURNAL OF CLINICAL NUTRITION, 2018, 27 (05) :975-979
[7]   A clinical and safety review of paracetamol and ibuprofen in children [J].
Kanabar, Dipak J. .
INFLAMMOPHARMACOLOGY, 2017, 25 (01) :1-9
[8]   Morphine or Ibuprofen for Post-Tonsillectomy Analgesia: A Randomized Trial [J].
Kelly, Lauren E. ;
Sommer, Doron D. ;
Ramakrishna, Jayant ;
Hoffbauer, Stephanie ;
Arbab-tafti, Sadaf ;
Reid, Diane ;
Maclean, Jonathan ;
Koren, Gideon .
PEDIATRICS, 2015, 135 (02) :307-313
[9]   Practice Guideline Recommendations on Perioperative Fasting: A Systematic Review [J].
Lambert, Eva ;
Carey, Sharon .
JOURNAL OF PARENTERAL AND ENTERAL NUTRITION, 2016, 40 (08) :1158-1165
[10]   Comparison of ropivacaine, bupivacaine and lidocaine in the management of post-tonsillectomy pain [J].
Ozkiris, Mahmut ;
Kapusuz, Zeliha ;
Saydam, Levent .
INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2012, 76 (12) :1831-1834