ANALGESIC EFFICACY OF TRAMADOL IN PEDIATRIC TONSILLECTOMY WITH ADENOIDECTOMY
| Title: | ANALGESIC EFFICACY OF TRAMADOL IN PEDIATRIC TONSILLECTOMY WITH ADENOIDECTOMY |
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| Authors: | Janez Benedik |
| Source: | Zdravniški Vestnik, Vol 84, Iss 4 (2015) |
| Publisher Information: | Slovenian Medical Association, 2015. |
| Publication Year: | 2015 |
| Collection: | LCC:Medicine |
| Subject Terms: | acute pain, otorhinolaryngologic surgical procedures, analgesics narcotic iv, acetaminophen, Medicine |
| More Details: | Background: Tonsillectomy is one of the most commonly performed surgical prcedures in childhood. Acute pain after tonsillectomy and adenoidectomy can be treated with non-opioid and opioid analgesics. Our hypothesis stated that tramadol iv after induction of anaesthesia has superior analgesic effect compared to acetaminophen.Methods: In a prospective, randomised study we compared analgesic efficacy of tramadol (group T: 2 mg/kgBW iv) and acetaminophen (group A: elixir 15 mg/kgBW before op. procedure) in a group of 108 children (age 3-7 years). Exclusion critheria: allergy, liver or kidney failure, epilepsy, febrile convulsions. A standard anaesthetic technique was used: propofol, alfentanil, vecuronium, positive pressure ventilation with 60% nitrous oxide in oxygen. After the procedure each child received acetaminophen suppositories (10 mg/kgBW/4-6h) and combined suppositories. Monitoring: vital signs during and after op. procedure, pain intensity on the ward (facial pain score). Results: There were no significant differences between the two groups in age distribution (mean age 5,2 years), ASA physical status, body weight, operative procedure, pain scores (VAS 6h after operative procedure; group T: 4,21±1,45; group A: 4,06±1,33), oxygen saturation, pulse frequency and the consumption of acetaminophen suppositories. Significant difference was in the consumption of combined suppositories (group T: 1,85±0,79; group A: 1,43±0,69, p=0,003). Conclusion: Our study has shown, that tramadol is not a superior analgesic for the relief of posttonsillectomy pain in children compared to acetaminophen. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English Slovenian |
| ISSN: | 1318-0347 1581-0224 |
| Relation: | http://vestnik.szd.si/index.php/ZdravVest/article/view/1205; https://doaj.org/toc/1318-0347; https://doaj.org/toc/1581-0224 |
| Access URL: | https://doaj.org/article/ea5d0d2486bc49c88fec1a048c9fce8d |
| Accession Number: | edsdoj.5d0d2486bc49c88fec1a048c9fce8d |
| Database: | Directory of Open Access Journals |
| ISSN: | 13180347 15810224 |
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| Published in: | Zdravniški Vestnik |
| Language: | English Slovenian |