Management of Cystic Swelling in the Nasopharynx After Bilateral Tonsillectomy

Perioperative Considerations

A single intraoperative dose of intravenous dexamethasone should be administered to reduce postoperative pain and inflammation, as recommended by the American Academy of Otolaryngology-Head and Neck Surgery 1
Multimodal pain management should be implemented with paracetamol (acetaminophen) and NSAIDs as baseline therapy, according to the Anaesthesia journal 3
Multimodal pain management should be implemented with opioids only as rescue medication if needed, as suggested by the American Academy of Otolaryngology-Head and Neck Surgery is not available, however Praxis Medical Insights recommends this approach 2
Adequate hydration should be maintained throughout the perioperative period, as recommended by Praxis Medical Insights 2

Bleeding: Monitor for signs of hemorrhage, which may require intervention, as recommended by the American Academy of Otolaryngology-Head and Neck Surgery 4
Pain: Implement multimodal analgesia with scheduled paracetamol and NSAIDs, as suggested by Praxis Medical Insights, however the American Academy of Otolaryngology-Head and Neck Surgery does not have this information available 2