Tonsillectomy

Prednisolone

Placebos

Postoperative Oral Corticosteroids Following Tonsillectomy

Post-operative Oral Corticosteroids Following Tonsillectomy: A Randomized Controlled Trial

total amount of narcotic medication used in post-op period

amount of acetaminophen and ibuprofen needed post-operatively

Bianca Siegel

Assistant Professor

Wayne State University

Children's Hospital of Michigan Foundation

Preincisional bilateral peritonsillar infiltration of a total of 6 mL of saline

Preincisional bilateral peritonsillar infiltration of levobupivacaine 0.25% (3 mL to each tonsil).

Preincisional bilateral peritonsillar infiltration of levobupivacaine 0.5% (3 mL to each tonsil).

Pain

Peritonsillar infiltration with saline Additional remifentanil 1 µgr kg-1 IV was administered to the patients if HR was increased by 25 % of the basal value.
During postoperative period, symptoms such as pain, fever and dysphagia, adverse affects such as nausea and vomiting and hemorrhage were evaluated. Pain was evaluated by FLACC (Faces, leg, activity, cry, consolability), FPRS (Faces pain rating scale) ve Wong-Baker facies scales at postoperative 0, 30 and 60 minutes and 2, 6, 12 and 24 hours. Total analgesic consumption during the postoperative period were recorded. If the patients had no complication, they were discharged at the postoperative 24th hour.

Group S

Peritonsillar infiltration with low-dose of levobupivacaine 0.25%. Additional remifentanil 1 µgr kg-1 IV was administered to the patients if HR was increased by 25 % of the basal value.
During postoperative period, symptoms such as pain, fever and dysphagia, adverse affects such as nausea and vomiting and hemorrhage were evaluated. Pain was evaluated by FLACC (Faces, leg, activity, cry, consolability), FPRS (Faces pain rating scale) ve Wong-Baker facies scales at postoperative 0, 30 and 60 minutes and 2, 6, 12 and 24 hours. Total analgesic consumption during the postoperative period were recorded. If the patients had no complication, they were discharged at the postoperative 24th hour.

Group LL

Peritonsillar infiltration with high dose of levobupivacaine 0.5%. Additional remifentanil 1 µgr kg-1 IV was administered to the patients if HR was increased by 25 % of the basal value.
During postoperative period, symptoms such as pain, fever and dysphagia, adverse affects such as nausea and vomiting and hemorrhage were evaluated. Pain was evaluated by FLACC (Faces, leg, activity, cry, consolability), FPRS (Faces pain rating scale) ve Wong-Baker facies scales at postoperative 0, 30 and 60 minutes and 2, 6, 12 and 24 hours. Total analgesic consumption during the postoperative period were recorded. If the patients had no complication, they were discharged at the postoperative 24th hour.

facies/fièvre

Postoperative Oral Corticosteroids Following Tonsillectomy

Peritonsillar Infiltration With Levobupivacaine for Posttonsillectomy Pain

La base de données d'herbes médicinales la plus complète soutenue par la science