Peritonsillar morphine infiltration to prevent early postoperative pain after tonsillectomy

Ruan, Xiulu; Salinas, Orlando J.; Kaye, Alan D.

doi:10.1097/eja.0000000000000478

Cited by 1 publication

(2 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Despite the emphasis on postoperative pain management, approximately 50% of children still experience severe pain after surgery (4). The usual method of pain control is the use of opioids and non-steroidal antiinflammatory drugs (NSAIDs) that also have various side effects (5,6) including weakening of the respiratory sys-tem, itching, nausea, and vomiting after surgery (7,8). In other studies, drugs such as dexamethasone, morphine, lidocaine, tramadol, ketamine, and bupivacaine have been used to control postoperative pain, each of which has its own specific side effects (7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

“…The usual method of pain control is the use of opioids and non-steroidal antiinflammatory drugs (NSAIDs) that also have various side effects (5,6) including weakening of the respiratory sys-tem, itching, nausea, and vomiting after surgery (7,8). In other studies, drugs such as dexamethasone, morphine, lidocaine, tramadol, ketamine, and bupivacaine have been used to control postoperative pain, each of which has its own specific side effects (7)(8)(9). Accordingly, postoperative pain control in children requires methods with minimum complications and maximum efficiency (10).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Effect of Gargling Cold Normal Saline in Comparison to Normal Saline Mixed with Honey on Postoperative Pain Relief in Tonsillectomy or Adenotonsillectomy: A Randomized Clinical Trial

Raoufian¹,

Nasiri²,

Ghafari³

et al. 2020

Iran Red Crescent Med J

View full text Add to dashboard Cite

Objectives: The present study was conducted to compare the effect of gargling normal saline mixed with honey and cold normal saline on postoperative pain relief in children undergoing tonsillectomy or adenotonsillectomy during 2018. Methods: This clinical trial was performed on 105 children aged 5-14 years. The participants were randomly allocated to three 35-member groups, viz. normal saline mixed with honey, cold normal saline, and the control. The patients underwent general anesthesia and then were operated by a single surgeon. Gargle was administered in the first and second groups every six hours up to 48 hours following the surgery. There was no intervention in the control group. The pain was recorded by the Wong-Baker FACES Pain Rating Scale (WBS) at the recovery time and 6, 12, 18, 24, 36, 48 hours and 7 days after the surgery. Data were analyzed using repeated measures ANOVA. Results: Among the participants, 47 subjects (44.8%) were males and the rest were females, with a mean age of 8.6 ± 2.5 years. The three groups were similar in terms of sex, weight, duration of surgery, and bleeding during surgery. The pain at the site of surgery during both resting and swallowing was different at 6, 12, 18, 24, 36, 48 hours, and 7 days following the surgery (P < 0.001). Conclusions: Gargling cold normal saline and normal saline mixed with honey led to reduced pain after tonsillectomy or adenotonsillectomy; however, the latter had a higher effect on the postoperative pain relief.

show abstract