Hypopharyngeal packing during adenotonsillectomy by cold dissection in children: a randomized controlled trial
| Autor: | Renata Loss Drummond, Mariele Bressan, José Faibes Lubianca Neto, Sergio Luis Amantea, Maira Isis S. Stangler, Luciana Pimentel Oppermann, Eduardo Esteves de Alcântara Marques Rodrigues |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Nausea medicine.medical_treatment law.invention Adenoidectomy Randomized controlled trial Double-Blind Method law Internal medicine medicine Humans Child Tonsillectomy business.industry Incidence (epidemiology) Dissection General Medicine Otorhinolaryngology Relative risk Child Preschool Postoperative Nausea and Vomiting Vomiting Female medicine.symptom business Postoperative nausea and vomiting Brazil |
| Zdroj: | European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery. 277(9) |
| ISSN: | 1434-4726 |
| Popis: | Nausea and vomiting occur in up to 70% of children after adenotonsillectomy, ingested blood during procedure being one of the reasons for emesis. Hypopharyngeal packing (HP) is a common practice among otolaryngologists to prevent blood from being swallowed, but studies in nasal surgeries in adults failed to show efficacy of this technique in reducing postoperative nausea and vomiting (PONV). There are no studies evaluating the effect of HP in adenotonsillectomy in children. The aim of this study is to evaluate the efficacy HP during adenotonsillectomy in children in the prevention of PONV. This is a randomized, double-blinded, controlled trial. Children aged 4–16 years, scheduled for adenotonsillectomy due to sleep-disordered breathing were enrolled in Hospital da Crianca Santo Antonio (Brazil). 192 participants were screened, while 129 were enrolled and completed follow-up for primary outcome. Patients were randomized in a consecutive manner to receive HP or not during adenotonsillectomy. PONV occurrence was assessed in the first 24 h after surgery in HP and control group and relative risk with 95% confidence interval was calculated. There were 129 patients randomized, 64 in the HP and 65 in the control group. Female were 40.3% and mean ± SD age was 7.3 ± 2.9. Baseline characteristics and surgery variables were distributed similarly between the groups. Incidence of PONV was 20.3% in the HP and 23.1% in the control group. The relative risk for PONV was 0.88 (95% CI 0.46–1.70). Our results suggest that there is no benefit of HP during adenotonsillectomy in children for the prevention of PONV. Brazilian Register of Randomized Trials (REBEC) identifier: RBR-3zjn27; Universal Trial Number U1111-1197-7461. |
| Databáze: | OpenAIRE |
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