• R Wei Chern Gan, T Kamani, and M Daniel.
• Ear, nose and throat department, Queen's medical centre, Nottingham university hospitals NHS Trust, Derby road, NG7 2UH Nottingham, United Kingdom. Electronic address: richardwcgan@gmail.com.
• Eur Ann Otorhinolaryngol Head Neck Dis. 2017 Feb 1; 134 (1): 23-25.

BackgroundRecent advice against codeine use in children prompted our unit to prescribe Oramorph as required, in addition to regular paracetamol and ibuprofen, as post-(adeno)tonsillectomy analgesia. This study investigated whether Oramorph was in fact required.MethodsFollowing (adeno)tonsillectomy, parents were telephoned and asked whether they used Oramorph.ResultsOf 56 children studied, 41 (73.2%) were given Oramorph. In the 15 (26.8%) that were not, this was because parents felt it was not required in 14 children, and in 1 case, it was due to worries about side effects. Overall, 14 carers (25.0%) expressed concerns about Oramorph use, mostly over possible side effects.ConclusionWhen regular paracetamol and ibuprofen are used post-(adeno)tonsillectomy, nearly three quarters of children require Oramorph as well. Prescribing Oramorph as required, in addition to regular paracetamol and ibuprofen, is appropriate following adenotonsillar surgery.Copyright © 2016 Elsevier Masson SAS. All rights reserved.

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