Single Dose Dexamethasone Effect on Postoperative Pain in Pediatric Adenotonsillectomy In Habbobi Teaching Hospital in Nasiriyah / Iraq (2013-2015)

Authors

  • Saddam Sahib Atshan Otorhinolaryngologist , Habbobi Teaching Hospital – Al Nasiriyah – Iraq .
  • Aws Adel Al-Hussona Senior Specialist in ORL , Head &Neck surgery , Habbobi Teaching Hospital Al Nasiriyah – Iraq .

Keywords:

Adenotonsillectomy, Dexamethasone, Pain relief

Abstract

Objectives: To assess the effectiveness of single calculated dose of dexamethasone per-operatively in reducing pain in pediatric adenotonsillectomy.

Materials and Methods: its retrospective study of One hundred fifty patients underwent adenotonsillectomy with age range of 6-12 years old divided into two equal groups , the 1st group (treatment) receive single dose (0.5mg/Kg) dexamethasone intravenously at induction of general anesthesia , the 2nd (control) receive nothing , pain assessed postoperatively at 2, 8 and 16 hours using Visual Analogue Score (Mild "1-4" , Moderate "5-7" and Severe "8-10") .

Results : The difference at 2 hours postoperatively was statistically  insignificant , but at 8 and 16 hours it was statistically significant (P-value <0.05) .

Conclusion : single dose dexamethasone at induction of adenotonsillectomy general anesthesia significantly reduce pain in the postoperative period .

                 

References

(1) Spencer W (trans.). De Medicina. London: Loeb Classical Library, 1935; ii: 12.

(2) Lee KC , Bent JP , Dolitsky JN , Hinchcliffe AM , Mansfield EL, White AK . Surgical advances in tonsillectomy : report of a round table discussion . Ear Nose Throat J. Aug. 2004 ;83(8 Suppl 3):4-13. (Medline) .

(3) Pasha R. Otolaryngology , Head & Neck surgery . Clinical reference guide , 2nd Ed.

Adenotonsillar disease 2010 ;158-165 .

(4) Gupta AK , Gupta S , Meena DS , Sharma U . Post Tonsillectomy pain : different modes of pain relief . Indian J. otolaryngology , Head& Neck surgery 2002;54:136-9 .

(5) Kaygusuz I , Susaman N . The effect of dexamethasone , bupivacaine and topical lidocaine spray on pain after tonsillectomy . Inernational Pediatric otolaryngological J.n2003;67:737-42 .

(6) Kerekhanjarong V , Tang-On N . Tonsillar fossa steroids injection for reduction of the post-tonsillectomy pain . J. of Medical association . Thailand 2001;84:391-5 .

(7) Brunton LL , Parker KL , Goodman & Gliman's Manual of pharmacology & therapeutics . Adrenocorticotropic Hormone; Adrenocortical Steroids and their Synthetic Analogs . 2008; 12:1025-40 . Mc Grow Hill publisher .

(8) Khan MI , Iqbal MK . Post Tonsillectomy pain : Role of single intraoperative dose of Dexamethasone . Pakistan Journal of Medical & Health sciences online http://pjmhsonline.com / July-Sept 2012 .

(9) McKean S, Kochilas X, Kelleher R, Dockery M. Use of intravenous steroids at induction of anaesthesia for adult tonsillectomy to reduce postoperative nausea and vomiting and pain. Clin Otolaryngol 2006; 31:360.

(10) Stewart R, Bill R, Ullah R, McConaghy P, Hall SJ. Dexamethasone reduces pain after tonsillectomy in adults. Clin Otolaryngol 2002; 27:321-6.

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Published

2019-04-25

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