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Pain versus bleeding risk following tonsillectomy: do patients and doctors agree?

Published online by Cambridge University Press:  20 January 2009

T-H Low ,
P Harris ,
A Esterman  and
A S Carney
T-H Low
Affiliation:
ENT Unit, Department of Surgery, Flinders Medical Centre and Flinders University, Australia
P Harris
Affiliation:
ENT Unit, Department of Surgery, Flinders Medical Centre and Flinders University, Australia
A Esterman
Affiliation:
School of Nursing and Midwifery, University of South Australia, Adelaide, South Australia, Australia
A S Carney*
Affiliation:
ENT Unit, Department of Surgery, Flinders Medical Centre and Flinders University, Australia
*
Address for correspondence: A/Prof A Simon Carney, Associate Professor and Head of ENT Unit, Flinders Medical Centre, Bedford Park, SA 5042, Australia. Fax: +61 8 8219 9908 E-mail: simon@ent-surgery.com
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Abstract

Objective:

To investigate the differing opinions of patients and medical practitioners regarding the relative priorities of pain relief versus bleeding prevention following tonsillectomy.

Methods:

Questionnaires were mailed out to adult patients, paediatric patients' parents, general practitioners and ENT surgeons.

Results:

A total of 72/112 (64.3 per cent) questionnaires were returned. Adult patients, paediatric patients' parents, general practitioners and ENT surgeons all ranked bleeding as the most important factor when assessing risks related to tonsillectomy. Most adult patients indicated that they would accept a bleeding risk of 2 per cent; however, parents indicated that they would accept a higher bleeding risk (3 per cent) for their children in exchange for better pain control.

Conclusions:

Adult patients, paediatric patients' parents and doctors were slightly more inclined to ‘trade-off’ an increased post-tonsillectomy bleeding risk in exchange for better post-tonsillectomy pain control, although concerns about post-operative haemorrhage remained the main priority for all groups.

Keywords

TonsillectomyQuestionnairesPostoperative PainPost Operative Haemorrhage
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 9 , September 2009 , pp. 1015 - 1020
Copyright
Copyright © JLO (1984) Limited 2009

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