ANALGESIC EFFICACY OF TRAMADOL IN PEDIATRIC TONSILLECTOMY WITH ADENOIDECTOMY
<p><em><span style="text-decoration: underline;">Background:</span></em> 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....
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| Format: | Article |
| Language: | English |
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Slovenian Medical Association
2015-05-01
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| Series: | Zdravniški Vestnik |
| Subjects: | |
| Online Access: | http://vestnik.szd.si/index.php/ZdravVest/article/view/1205 |
| _version_ | 1818244290702213120 |
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| author | Janez Benedik |
| author_facet | Janez Benedik |
| author_sort | Janez Benedik |
| collection | DOAJ |
| description | <p><em><span style="text-decoration: underline;">Background:</span></em> 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.</p><p><em><span style="text-decoration: underline;">Methods:</span></em> 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). </p><p><em><span style="text-decoration: underline;">Results:</span></em> 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). </p><p><em><span style="text-decoration: underline;">Conclusion:</span></em> Our study has shown, that tramadol is not a superior analgesic for the relief of posttonsillectomy pain in children compared to acetaminophen.</p><p> </p> |
| first_indexed | 2024-12-12T14:14:40Z |
| format | Article |
| id | doaj.art-ea5d0d2486bc49c88fec1a048c9fce8d |
| institution | Directory Open Access Journal |
| issn | 1318-0347 1581-0224 |
| language | English |
| last_indexed | 2024-12-12T14:14:40Z |
| publishDate | 2015-05-01 |
| publisher | Slovenian Medical Association |
| record_format | Article |
| series | Zdravniški Vestnik |
| spelling | doaj.art-ea5d0d2486bc49c88fec1a048c9fce8d2022-12-22T00:21:58ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242015-05-01844998ANALGESIC EFFICACY OF TRAMADOL IN PEDIATRIC TONSILLECTOMY WITH ADENOIDECTOMYJanez Benedik0University medical centre Ljubljana, Slovenia,<p><em><span style="text-decoration: underline;">Background:</span></em> 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.</p><p><em><span style="text-decoration: underline;">Methods:</span></em> 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). </p><p><em><span style="text-decoration: underline;">Results:</span></em> 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). </p><p><em><span style="text-decoration: underline;">Conclusion:</span></em> Our study has shown, that tramadol is not a superior analgesic for the relief of posttonsillectomy pain in children compared to acetaminophen.</p><p> </p>http://vestnik.szd.si/index.php/ZdravVest/article/view/1205acute pain, otorhinolaryngologic surgical procedures, analgesics narcotic iv, acetaminophen |
| spellingShingle | Janez Benedik ANALGESIC EFFICACY OF TRAMADOL IN PEDIATRIC TONSILLECTOMY WITH ADENOIDECTOMY Zdravniški Vestnik acute pain, otorhinolaryngologic surgical procedures, analgesics narcotic iv, acetaminophen |
| title | ANALGESIC EFFICACY OF TRAMADOL IN PEDIATRIC TONSILLECTOMY WITH ADENOIDECTOMY |
| title_full | ANALGESIC EFFICACY OF TRAMADOL IN PEDIATRIC TONSILLECTOMY WITH ADENOIDECTOMY |
| title_fullStr | ANALGESIC EFFICACY OF TRAMADOL IN PEDIATRIC TONSILLECTOMY WITH ADENOIDECTOMY |
| title_full_unstemmed | ANALGESIC EFFICACY OF TRAMADOL IN PEDIATRIC TONSILLECTOMY WITH ADENOIDECTOMY |
| title_short | ANALGESIC EFFICACY OF TRAMADOL IN PEDIATRIC TONSILLECTOMY WITH ADENOIDECTOMY |
| title_sort | analgesic efficacy of tramadol in pediatric tonsillectomy with adenoidectomy |
| topic | acute pain, otorhinolaryngologic surgical procedures, analgesics narcotic iv, acetaminophen |
| url | http://vestnik.szd.si/index.php/ZdravVest/article/view/1205 |
| work_keys_str_mv | AT janezbenedik analgesicefficacyoftramadolinpediatrictonsillectomywithadenoidectomy |