Effects of Therapeutic Suggestion Under Anesthesia on Outcomes in Children Post Tonsillectomy

Tonsillectomy causes discomfort in children. Positive therapeutic suggestions (TS) may be given to patients while they are emerging from general anesthesia as a potential tool to decrease distress. This study examined impact of TS on outcomes, when delivered to children emerging from general anesthe...

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Bibliographic Details
Published in:Journal of perianesthesia nursing 2014-04, Vol.29 (2), p.94-106
Main Authors: Martin, Shirley, Smith, Andrea Burdge, Newcomb, Patricia, Miller, Jacquie
Format: Article
Language:English
Subjects:
Anesthesia, General
Child
Double-Blind Method
Humans
Nursing
PACU
pain
pediatrics
therapeutic suggestion
tonsillectomy
Tonsillectomy - adverse effects
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Summary:Tonsillectomy causes discomfort in children. Positive therapeutic suggestions (TS) may be given to patients while they are emerging from general anesthesia as a potential tool to decrease distress. This study examined impact of TS on outcomes, when delivered to children emerging from general anesthesia post tonsillectomy. A double blinded randomized controlled trial was conducted with 94 patient/parent pairs. TS and noise recordings were played via headphones post tonsillectomy upon arrival to the Post Anesthesia Care Unit until the child showed signs of waking. Pain scores at 30 minutes post extubation show significantly lower pain in the TS group, P = .04 (Mann Whitney U for independent samples). The TS group had 70% increased likelihood of receiving less intravenous (IV) opioid. TS may help lower pain in children post tonsillectomy and decrease demand for IV opioid pain management in the 4- to 8-year-old tonsillectomy population.
ISSN:1089-9472
1532-8473
DOI:10.1016/j.jopan.2013.03.011