Pediatric anesthesia & critical care
Effectiveness of implementing a standardized perioperative pain management protocol in children undergoing tonsillectomy: A quality improvement project
Authors' conclusion
The quality improvement project highlighted notable improvements in the intervention group for whom a standardized perioperative pain management protocol was used, including reduced opioid medication administration, lower incidence of respiratory interventions, and high adherence to the pain management protocol.
Study context
- Population
- Children undergoing tonsillectomy at an academic tertiary care facility
- Participants
- 180 children
- Comparison
- Standardized perioperative pain management protocol vs no protocol
- Interventionn = 99
- Controln = 81reference
- Outcome
- Postoperative pain medication administration
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Further findings
Postoperative IV fentanyl
P = 0.004
| Outcome | Intervention | Control |
|---|---|---|
| Adherence to protocol and usability | 100% | — not stated in the abstract |
— not stated in the abstract
Adherence to protocol and usability
- Providers found the protocol easy to use
Safety
Respiratory interventions (bag-mask ventilation, lidocaine, propofol or succinylcholine, reintubation)
Respiratory interventions (bag-mask ventilation, lidocaine, propofol or succinylcholine, reintubation)
- Increased respiratory team activation in the Control group
Original publication
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