Inadequate analgesic prescription increases secondary post-tonsillectomy bleed rates: a completed audit loop.
A significantly greater than normal secondary haemorrhage rate was noted in patients who had undergone tonsillectomy or adenotonsillectomy as waiting list 'initiative' cases within an alternative healthcare provider setting, compared with patients undergoing the same surgery within a primary healthcare trust (17.8 vs 3.9 per cent, respectively; p 0.1). We conclude that adequate analgesia, for the first week post-tonsillectomy, is essential in order to keep the secondary haemorrhage rate within an acceptable range.
Department of Otolaryngology Head and Neck Surgery, Hull Royal Infirmary, UK. galag120@hotmail.com
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Alhamarneh
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Raja
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RJ
England
D000293:Adolescent; D000328:Adult; D000368:Aged; D000700:Analgesics / Q000008:administration & dosage*; D002648:Child; D002675:Child, Preschool; D003133:Commission on Professional and Hospital Activities; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000517:prevention & control*; D010359:Patient Readmission / Q000191:economics / Q000706:statistics & numerical data; D019106:Postoperative Hemorrhage / Q000209:etiology*; D010818:Practice Patterns, Physicians'; D014068:Tonsillectomy / Q000009:adverse effects* / Q000592:standards; D016896:Treatment Outcome; D006113:United Kingdom
D000700:Analgesics