Preemptive Dexamethasone Reduces Pediatric Post-Tonsillectomy Pain: A Triple-Blind Randomized Clinical Trial

Autor: Rohollah Abbasi, Javad yazdani, Mohammad Saeed Ahmadi, Javaneh Jahanshahi, mohamad Hossein Bakhshaei, Abbas Moradi, Farnaz Hashemian
Jazyk: perština
Rok vydání: 2019
Předmět:
Zdroj: پزشکی بالینی ابن سینا, Vol 26, Iss 3, Pp 131-136 (2019)
Druh dokumentu: article
ISSN: 2588-722X
2588-7238
Popis: Background and Objective: Adenotonsillectomy is one of the most commonly performed surgical procedures in children. Although this surgery is technically easy, it can run a high risk of serious complications, such as laryngeal spasm, laryngitis, bleeding, pain, and nausea. The present study aimed to assess the effect of preemptive dexamethasone on pediatric post tonsillectomy pain. Materials and Methods: This triple-blinded clinical trial study involved a total number of 70 children within the age range of 3-15 years. They were candidates for adenotonsillectomy and were randomly assigned to two groups. One hour before the surgery, one group received intravenous dexamethasone (0.1 mg/kg) and the other group received distilled water intravenously. Patientschr('39') pain at 1, 4, 10, and 24 hours after the surgery, initiation of soft-diet feeding and the prevalence of nausea and vomiting were evaluated in both groups. Data were analyzed in SPSS software (version 16). Results: The total number of patients was 70 (35 in each group). Both groups were homogenous in terms of age and gender. In the intervention group, the mean score of pain in the first and fourth hours and the mean initiation time of soft- diet feeding were significantly lower, as compared to those of the control group (P
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