Clinical practice guideline for perioperative pain management in pediatric low-temperature plasma tonsillectomy

The application of low-temperature plasma technology in pediatric tonsillectomy has become the current main surgical procedure, and perioperative pain management for tonsillectomy exerts a direct impact on the postoperative recovery process of children. At present, there remains a deficiency in the standardized perioperative pain management for pediatric tonsillectomy in China, especially in aspects such as the selection of pain assessment tools, the development of multimodal analgesic protocols, and the formulation of individualized intervention strategies, where a unified consensus has not yet been established. The guideline development expert panel formulated this guideline by reviewing the literature and two rounds of modified Delphi method voting. This guideline systematically elaborates on four key aspects: common pain assessment methods after pediatric tonsillectomy, perioperative analgesic strategies, surgical approaches and operative techniques, and the influence of dietary factors on pain. It is intended to provide clinical practice guidance for otorhinolaryngology head and neck surgeons, anesthesiologists, and relevant medical staff in day surgery units, further promoting the standardization and systematization of perioperative pain management in pediatric tonsillectomy, and ultimately achieving the goals of facilitating the rapid recovery of children after tonsillectomy and reducing the incidence of perioperative complications.