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- Lavender (Lavandula angustifolia)
- Postoperative Pain
- Tonsillectomy
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Date:
02-14-2014 | HC# 101335-490
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Re: With Lavender Aromatherapy, Children Required Fewer Analgesics following Tonsillectomy
Soltani
R, Soheilipour S, Hajhashemi V, Asghari G, Bagheri M, Molavi M. Evaluation of
the effect of aromatherapy with lavender essential oil on post-tonsillectomy
pain in pediatric patients: A randomized controlled trial. Int J Pediatr Otorhinolaryngol. 2013;77(9):1579-1581.
Tonsillectomy
is among the most common childhood surgeries. One of its main complications is
pain, which can cause poor oral intake and dehydration post-surgery, leading to
morbidity and delayed recovery. No ideal treatment is available. Because
children may also experience postoperative nausea and vomiting, pain relievers
delivered through non-oral routes are needed. Many aromatic and medicinal
plants contain chemical compounds that make them appropriate for aromatherapy,
which is noninvasive and can be applied continuously to patients. Lavender (Lavandula angustifolia) is used in
traditional medicine for its analgesic and anti-inflammatory activities. These
authors, from Iran, explain that in Iranian folk and traditional medicine, lavender
is used as a carminative, diuretic, antiepileptic, antirheumatic, and pain
reliever. They conducted a randomized, controlled, prospective research study
to evaluate the effectiveness of aromatherapy with lavender essential oil on
post-tonsillectomy pain in children.
The
study, conducted at Isfahan (Iran) University of Medical Sciences, included 48
patients aged 6 to 12 years who underwent tonsillectomy. Following surgery, all
patients received acetaminophen (10-15 mg/kg per dose) every 7 hours for pain.
The patients in the treatment group (n=24) also inhaled lavender essential oil
every 6 hours by applying 4 droplets of the oil on their palm, rubbing their
hands together, and inhaling it for 3 minutes. Neither the manufacturer of the
lavender essential oil nor the oil's chemical profile was included in the
article.
The
frequencies of daily use of acetaminophen and nocturnal awakening due to pain,
as well as pain intensity, were recorded for each patient for the first 3 days
after surgery. Pain intensity was assessed by using a visual analog scale
(VAS).
The
authors report that the use of lavender essential oil significantly reduced the
frequency of acetaminophen use during each of the 3 postoperative days
(P<0.001). It did not, however, significantly impact pain intensity or
frequency of nocturnal awakening.
The
authors explain that the lack of effect on pain severity in this study and in
previous studies may be due to the use of analgesic agents in both groups,
making the assessment of pain intensity more difficult, and to the subjective
nature of the VAS in measuring pain intensity.
The
lack of a placebo in the control group and the small sample size are
limitations of this study. Details regarding the essential oil should have been
included in this article.
The
authors conclude, "This study suggests that aromatherapy with lavender
essential oil decreases analgesic requirement following tonsillectomy in
pediatric patients. This could be a cost-effective, available and safe
treatment option."
―Shari Henson
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