{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T04:55:57Z","timestamp":1789016157264,"version":"build-2803163510"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,5,29]],"date-time":"2019-05-29T00:00:00Z","timestamp":1559088000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Tonsillectomy procedures are a core element of paediatrics; however, perioperative management differs. This study aimed to describe tonsillectomy management, including the burden of pain, nausea and delayed recovery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective cohort study was undertaken through an audit of tonsillectomy perioperative practice and recovery and survey interviews with family members 7\u201314\u2009days post\u2010surgery. The study was undertaken at an Australian tertiary referral paediatric hospital between June and September 2016.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The audit included 255 children undergoing tonsillectomy, with 127 family members interviewed. Most participants underwent adenotonsillectomy (<jats:italic>n<\/jats:italic> = 216; 85%), with a primary diagnosis of obstructive sleep apnoea (<jats:italic>n<\/jats:italic> = 205; 80%) and a mean age of 7 years (standard deviation; 3.9). A variety of intra\u2010operative pain relief and antiemetics was administered. Pain was present in 29% (<jats:italic>n<\/jats:italic> = 26) of participants at ward return, increasing to 32\u201345% at 4\u201320\u2009h and decreasing to 21% (<jats:italic>n<\/jats:italic> = 15) at discharge. A third of the children (32%; <jats:italic>n<\/jats:italic> = 41) had moderate to severe pain at post\u2010discharge interview, and 30% (<jats:italic>n<\/jats:italic> = 38) experienced nausea at home. Most parents (82%; <jats:italic>n<\/jats:italic> = 104) were still giving regular paracetamol at 7 days post\u2010operatively, and 31% (<jats:italic>n<\/jats:italic> = 39) had finished their oxycodone. Of the participants, 14% (<jats:italic>n<\/jats:italic> = 26) presented to the emergency department within 7 days of discharge; 8% (<jats:italic>n<\/jats:italic> = 20) of the total cohort were re\u2010admitted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There was variety in perioperative and post\u2010discharge care. Pain scores were infrequently documented post\u2010tonsillectomy, and parents are generally dissatisfied with the management of post\u2010operative pain and nausea. Further research is needed to provide a more consistent approach to perioperative management to promote recovery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.14505","type":"journal-article","created":{"date-parts":[[2019,5,30]],"date-time":"2019-05-30T02:38:36Z","timestamp":1559183916000},"page":"114-122","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Impact of paediatric tonsillectomy perioperative management on pain, nausea and recovery: A prospective cohort study"],"prefix":"10.1111","volume":"56","author":[{"given":"Julianne","family":"Richards","sequence":"first","affiliation":[{"name":"Queensland Children's Hospital, Children's Health Queensland Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Lang","sequence":"additional","affiliation":[{"name":"Queensland Children's Hospital, Children's Health Queensland Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Andresen","sequence":"additional","affiliation":[{"name":"Queensland Children's Hospital, Children's Health Queensland Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"O'Leary","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery and Menzies Health Institute Queensland Griffith University  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7670-0703","authenticated-orcid":false,"given":"Jacqueline","family":"Jauncey\u2010Cooke","sequence":"additional","affiliation":[{"name":"Queensland Children's Hospital, Children's Health Queensland Hospital and Health Service  Brisbane Queensland Australia"},{"name":"School of Nursing, Midwifery and Social Work University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Anderson","sequence":"additional","affiliation":[{"name":"Queensland Children's Hospital, Children's Health Queensland Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Burns","sequence":"additional","affiliation":[{"name":"Queensland Children's Hospital, Children's Health Queensland Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Slee","sequence":"additional","affiliation":[{"name":"Queensland Children's Hospital, Children's Health Queensland Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8860-5319","authenticated-orcid":false,"given":"Amanda J","family":"Ullman","sequence":"additional","affiliation":[{"name":"Queensland Children's Hospital, Children's Health Queensland Hospital and Health Service  Brisbane Queensland Australia"},{"name":"School of Nursing and Midwifery and Menzies Health Institute Queensland Griffith University  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Cooke","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery and Menzies Health Institute Queensland Griffith University  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,5,29]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"CD004619","article-title":"Coblation versus other surgical techniques for tonsillectomy","author":"Pynnonen M","year":"2017","journal-title":"Cochrane Database Syst. 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