Abstract
Recently, the use of clinical pathways has been introduced as a tool for improving medical quality in Japan. We applied a clinical pathway to the care management following tonsillectomy in adults and evaluated the outcome. In our pathway, sore throat, hemorrhage, diarrhea and fever elevation were the variables examined following tonsillectomy. For reduction of the level of these variables, in addition to our previous treatments, morphine was given at a dose of 20mg per day for 2 days following the operation, and pre-operative antibiotic therapy was introduced. As a result of these changes, we observed the decreased appearance of sore throat, diarrhea and fever elevation after tonsillectomy.
