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Papers of the Week

2020 Apr 10

Int J Pediatr Otorhinolaryngol


Parental assessment of pain control following pediatric adenotonsillectomy: Do opioids make a difference?


Adler AC, Mehta DK, Messner AH, Salemi JL, Chandrakantan A
Int J Pediatr Otorhinolaryngol. 2020 Apr 10; 134:110045.
PMID: 32304855.


Postoperative prescribing of opioids following pediatric adenotonsillectomy can have negative consequences including unnecessary opioid exposure and potential for respiratory depression. While guidelines from The American Academy of Otolaryngology/Head & Neck Surgery recommend treatment of post adenotonsillectomy pain using acetaminophen and ibuprofen, many providers continue to prescribe opioids and may do so, in part with concern for parental dissatisfaction with post-operative analgesia. Our aim was to determine whether a post-operative prescription for opioids affects parental assessment of pain control following pediatric adenotonsillectomy.