Pediatric Guide to Tonsillectomy and Adenoidectomy
Date
2018
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Abstract
The use of opioids during a tonsillectomy and adenoidectomy (T&A), in the pediatric population, has shown adequate pain management. However, other modalities of analgesia have also shown value in pain control without the unfavorable side effects of narcotics. Hypoventilation with subsequent hypercarbia, apnea, hypoxia and a significant number of deaths have occurred due to the use of narcotics. The population most likely to require T&A are children with OSA who are at highest risk for morbidity and mortality. ADU SRNA’s will participate in the care of pediatric patients undergoing T&As during assigned pediatric specialty rotations occurring at AHS facilities. Therefore, an educational PowerPoint addressing evidence based preoperative, intraoperative, and postoperative pain management techniques for children undergoing a T&A was devised. The aim of this scholarly project was to increase the knowledge base of the ADU SRNA 2019 cohort regarding multimodal pain management techniques for pediatric T&A’s. Involvement in the pretesting and posttest assessment was voluntary. For statistical analysis, paired samples t-tests were conducted to analyze the data. Statistical analysis was performed by Roy Lukman, PhD. The mean pre-test score was 60.77 while the mean posttest score was 93.08 with a confidence interval of 95%. The obtained t-test was -5.676 (p < .001), which is statistically significant. It can be concluded that the average scores increased significantly.
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