Abstract

Pediatric tonsillectomy is 1 of the most performed surgeries and is not without risks. Tonsillectomy patients often have co-morbidities, including obstructive sleep apnea (OSA), sleep-disordered breathing, or recurrent upper respiratory infections. Surgery performed in the oropharynx, along with co-morbidities, introduces a higher risk of inflammation and airway obstruction postoperatively. Anesthetists have a role in providing adequate analgesia perioperatively while reducing the risk of complications. Opioids have been the treatment of choice for decades, yet researchers have identified links between opioids and postoperative respiratory complications as well as future addiction potential. Considering the high risk for postoperative complications in tonsillectomy and the utilization of opioids for analgesia, we sought to identify perioperative analgesic adjuncts with an effort to reduce opioid use and improve postoperative outcomes.

Author Details

Andrew Bourg, BSN, Samford University Nurse Anesthesia Student; Lisa Herbinger, DNP, CRNA, Samford University faculty member

Sigma Membership

Non-member

Lead Author Affiliation

Samford University, Birmingham, Alabama, USA

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Case Study/Series

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Opioid-Sparing Techniques, Opioid-Free Anesthesia, Pediatric Anesthesia, Opioid Adjuncts, Tonsillectomy

Advisor

Herbinger, Lisa

Degree

DNP

Degree Grantor

Samford University

Degree Year

2024

Creative Commons License

Creative Commons Attribution-No Derivative Works 3.0 License
This work is licensed under a Creative Commons Attribution-No Derivative Works 3.0 License.

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2024-01-26

Full Text of Presentation

wf_yes

Download

Additional Files

download (92 kB)

Share

COinS