Abstract

Background: Post-operative pain is common and a relatively common reason for post-operative patients attending Emergency Department (ED) and hospital readmission. Inadequate pain relief is an ongoing problem particularly in adults after tonsillectomy. It is associated with poor feeding, dehydration, delayed healing and increased risk of haemorrhage. Despite many publications comparing postoperative pain management, there is a lack of standardised post tonsillectomy analgesia prescription. This has to lead to an individual based prescription contrary to evidence-based prescription. The aim of the current study was to compare the readmission rate for pain in adult post tonsillectomy patients between a combination of diclofenac and paracetamol at discharge as against a cocktail of paracetamol, Arcoxia and Oxynorm.

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