How to replace codeine after tonsillectomy in children under 12 years of age? Guidelines of the French Oto-Rhino-Laryngology - Head and Neck Surgery Society (SFORL)

被引：24

作者：

Constant, I. ^{[3
]}

Khalfallah, S. Ayari ^{[1
]}

Brunaud, A. ^{[2
]}

Deramoudt, V. ^{[4
]}

Fayoux, P. ^{[5
]}

Giovanni, A. ^{[6
]}

Mareau, C. ^{[7
]}

Marianowski, R. ^{[8
]}

Michel, J.

Mondain, M. ^{[9
]}

Paganelli, A. ^{[6
]}

Pondaven, S. ^{[10
]}

Schultz, P. ^{[11
]}

Treluyer, J. M. ^{[12
]}

Wood, C. ^{[13
]}

Nicolas, R.

机构：

[1] Hop Femme Mere Enfant BRON, HCL Grp Hosp Est, Serv ORL Chirurg Cervicofaciale & Audiophonol, F-69677 Bron, France

[2] Ctr Med Alpha 128, Cabinet ORL, F-91940 Les Ulis, France

[3] Hop Armand Trousseau, Serv Anesthesie Reanimat, F-75012 Paris, France

[4] CHU Rennes, Hop Pontchaillou, Serv ORL & Chirurg Cervicofaciale, F-35033 Rennes, France

[5] CHRU Lille, Hop Jeanne de Flandre, Serv ORL & Consultat Chirurg Pediat, F-59037 Lille, France

[6] CHU Timone, Serv ORL & Chirurg Cervicofaciale, F-13385 Marseille, France

[7] CHU Timone, Ctr Douleur chron, F-13385 Marseille, France

[8] CHRU Brest, Serv ORL & Chirurg Cervicofaciale, F-29200 Brest, France

[9] CHU Montpellier, Serv ORL & Chirurg Cervicofaciale, F-34295 Montpellier 5, France

[10] Hop Clocheville, Serv ORL & Chirurg Cervicofaciale Pediat, F-37000 Tours, France

[11] CHU Hautepierre, Serv ORL & Chirurg Cervicofaciale, F-67098 Strasbourg, France

[12] Fac & Univ Paris Descartes, F-75006 Paris, France

[13] CHU Dupuytren, Ctr Prise Charge Douleur Chron, F-87000 Limoges, France

来源：

EUROPEAN ANNALS OF OTORHINOLARYNGOLOGY-HEAD AND NECK DISEASES | 2014年 / 131卷 / 04期

关键词：

Tonsillectomy; Analgesia; Codeine; Anti-inflammatories; Corticosteroids; Respiratory depression; Obstructive sleep apnea; Pain; Vomiting; Hemorrhage; NONSTEROIDAL ANTIINFLAMMATORY DRUGS; RANDOMIZED CONTROLLED-TRIALS; POSTOPERATIVE PAIN; DOUBLE-BLIND; TRAMADOL; METAANALYSIS; MORPHINE; RISK; ADENOTONSILLECTOMY; DEXAMETHASONE;

D O I：

10.1016/j.anorl.2014.06.001

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

The authors present the guidelines of the French Oto-rhino-laryngology - Head and Neck Surgery Society (SFORL) regarding pain management in children and adults following tonsillectomy. A multidisciplinary work group was entrusted with a literature review. Guidelines were drawn up based on the articles retrieved and the group members' experience. They were read over by an editorial group independent of the work group. A coordination meeting drew up the final version. Guidelines were graded A, B or C or as professional agreement in decreasing order of level of evidence. At home, non-steroid antiinflammatory drugs (NSAIDs) are recommended in association with paracetamol in elevated respiratory risk and especially obstructive sleep apnea syndrome; in elevated hemorrhagic risk (hemostasis disorder, surgical problems, etc.), tramadol is recommended. Two other treatment schedules (modified NSAIDs and corticosteroids) have not undergone dedicated study and should be assessed. Management of post-tonsillectomy pain in children is founded on individual risk/benefit analysis. (C) 2014 Published by Elsevier Masson SAS.

引用

页码：233 / 238

页数：6

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