A Technical Approach to Anesthesia in the Case of Tonsillectomy

Febrian Dwi Cahyo, Bambang Sutanto, Iin Novita Nurhidayati Mahmuda


Background: Tonsillectomy is the most common surgical procedure performed by an ENT doctor (Throat Nose Ear) in children. This surgery can cause pain, bleeding and swelling in the injured throat. Patient may complain of pain, difficulty swallowing, eating, drinking disorders, nausea and vomiting and fall into a dehydrated state. This can reduce patient satisfaction.

Discussion: Postoperative pain management of tonsillectomy is  a concern both by the ENT doctor and by the anesthesiologist. The high incidence of post-tonsillectomy pain or anxiety increases the risk of secondary post-tonsillectomy bleeding. It is necessary to know the mechanism of post operative pain and the negative impact of pain.

Conclusion: Doctors should give attention to reduce postoperative pain and choose a rational analgesic to overcome post operative tonsillectomy pain.


Anesthesia; Post operative pain; Tonsillectomy

Full Text:



  1. Patrick N, Robert G. Dasar-dasar ilmu THT. 2nd ed. Jakarta: EGC ; 2012.
  2. Brahmi NH, Sutiyono D. Ketamin and peritonsiller infiltration as post operative tonsillectomi pain management in children. J Anestesiol Indones. 2015;VII(2):114–9.
  3. Bohr C, Shermetaro C. Tonsillectomy and Adenoidectomy. Natl Libr Med . 2022.
  4. Indra I. Pre-Anesthesia Assessment and Preparation. Budapest Int Res Exact Sci J [Internet]. 2020;2(2). Available from: www.bircu-journal.com/ index.php/birex
  5. Ragan B. Chapter 67. Anesthesia for Otorhinolaryngologic (Ear, Nose, and Throat) Surgery Key Points. Anesthesiology. 2023.
  6. Morgan Jr GE, Mikhail MS, Butterworth JF, Mackey C, Wasnick JD. Airway Management . In: Morgan & Mikhail’s Clinical Anesthesiology. 5th ed. The Mc Graw Hill company ; 2013.
  7. Bangera A. Anaesthesia for adenotonsillectomy: An update. Indian J Anaesth. 2017;61(2):103-9.
  8. Joshi GP, Kehlet H, Beloeil H. Guidelines for perioperative pain management: need for re-evaluation. Br J Anaesth. 2017;119:720–2.
  9. M KK. Effect of intravenous paracetamol for post-operative pain relief after tonsillectomy - A study of 70 cases. MedPulse Int J Anesthesiol [Internet]. 2020;14(1):18–21. Available from: https://medpulse.in/Anesthsiology/html_14_1_5.php
  10. Choubsaz M, Mohsenin G, Ahmadi SJ, Sadeghi M. Comparison of the effects of adding of ketamine to preincisional bupivacaine injection on post operative pain relief after tonsillectomy in children. J Reports Pharm Sci . 2017;6(1):68–76.
  11. Rusmarjono, Arsyad SE. Nyeri Tenggorok. In: Buku ajar ilmu kesehatan telinga hidung tenggirik kepala & leher. 7th ed. Jakarta ; 2016.
  12. Suvarna, Deepa, Fernandes S. Anesthesia Management of Adenotonsillectomy. Otorhinolaryngol Clin An Int J. 2015;7(1):17–21.
  13. Kitisin N, Chumpathong S, Raykateeraroj N, Praserdvigai P, Tareerath M. Factors Associated with Moderate to Severe Pain in Post- Anesthesia Care Unit after Tonsillectomy ; : A Retrospective Study. J Med Assoc Thai . 2021;104:438–44.


  • There are currently no refbacks.