소아에서 편도 및 아데노이드 절제술 후 식이 시작 시간과술후 합병증 발생 사이의 연관성에 관한 연구
A Study of Association Between Initiating Time of Oral Feeding and Development of Postoperative Complications After Tonsillectomy & Adenoidectomy Operation In Children
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Background and Objectives Tonsillectomy is one of the most common operative proce-dures performed in children by otolaryngologists. However, many surgeons demand excessivefasting from their patients for the fear of pulmonary aspiration and postoperative bleeding af-ter surgery. This study was performed to investigate the effect of early feeding after tonsillec-tomy on acute postoperative pain, vomiting and postoperative bleeding in children. Subjects and Method Data were collected via retrospective medical chart review. A totalof 121 patients under the age of 12, who underwent tonsillectomy along with adenoidectomyin our hospital, were included in this study. The patients were divided into two groups accord-ing to the time of first water or liquid intake and first diet, respectively. Operation time, anes-thesia time, state of appetite at the beginning of a soft diet, degree of postoperative pain, therequirement of intravenous analgesics and incidence of vomiting during hospitalization andincidence of postoperative bleeding were compared. Results There was no significant difference in the degree of pain, the requirement of intra-venous analgesics, the incidence of vomiting or postoperative bleeding according to the timeof first water or liquid intake. In addition, there was no difference in the degree of appetite andpain, the requirement of intravenous analgesics, incidence of vomiting or postoperative bleed-ing according to the time of first diet. Conclusion Initiating feeding as early as possible after tonsillectomy does not appear to in-crease acute postoperative pain, vomiting or postoperative bleeding.
Abstract
Background and Objectives Tonsillectomy is one of the most common operative proce-dures performed in children by otolaryngologists. However, many surgeons demand excessivefasting from their patients for the fear of pulmonary aspiration and postoperative bleeding af-ter surgery. This study was performed to investigate the effect of early feeding after tonsillec-tomy on acute postoperative pain, vomiting and postoperative bleeding in children. Subjects and Method Data were collected via retrospective medical chart review. A totalof 121 patients under the age of 12, who underwent tonsillectomy along with adenoidectomyin our hospital, were included in this study. The patients were divided into two groups accord-ing to the time of first water or liquid intake and first diet, respectively. Operation time, anes-thesia time, state of appetite at the beginning of a soft diet, degree of postoperative pain, therequirement of intravenous analgesics and incidence of vomiting during hospitalization andincidence of postoperative bleeding were compared. Results There was no significant difference in the degree of pain, the requirement of intra-venous analgesics, the incidence of vomiting or postoperative bleeding according to the timeof first water or liquid intake. In addition, there was no difference in the degree of appetite andpain, the requirement of intravenous analgesics, incidence of vomiting or postoperative bleed-ing according to the time of first diet. Conclusion Initiating feeding as early as possible after tonsillectomy does not appear to in-crease acute postoperative pain, vomiting or postoperative bleeding.
참고문헌 (16)
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