comparison between effect of lidocaine, morphine and ketamine spray on post-tonsillectomy pain in children
نویسندگان
چکیده
conclusions the results of this study showed that lidocaine spray had the best pain controlling effect at 20 minutes in the recovery room, but after 40 minutes, ketamine and morphine sprays were more effective than the lidocaine spray. results in the early postoperative period (time: 0) and at 20, 40 and 60 minutes of recovery time, flacc scale scores in the control group were higher than in the three other groups. at 20 minutes, the flacc scale score in the lidocaine group was lower than in the other groups. at 40 minutes, the statistical differences between flacc scales of the lidocaine, morphine and ketamine groups were not significant (p > 0.05). finally, at 60 minutes, the flacc scale scores of the ketamine and morphine groups were lower than in the other groups. patients and methods a total of 120 children, american society of anesthesiologist (asa) class i–ii, scheduled for elective tonsillectomy were enrolled in this double-blind, clinical trial study. they were randomly divided into 4 groups, each receiving one of the following drugs at the end of operation; lidocaine spray (2 mg/kg); morphine spray (0.05 mg/kg); ketamine spray (0.5 mg/kg); or normal saline spray (8 puffs). for comparison of postoperative pain; the face, legs, activity, cry, consolability (flacc) pain scale was evaluated during the first one hour of recovery period at 20 minutes intervals. the data was transferred to spss-10 software and analyzed statistically with the scheffe test and dunnett’s t3 test. p value less than 0.05 was considered significant. background an effective pain therapy to block or modify the physiological responses to stress has become an essential component of modern pediatric anesthesia and surgical practice. objectives the goal of this study was to compare the analgesic effects of the spray forms of; lidocaine, morphine, ketamine, and normal saline on post-tonsillectomy pain scores in children.
منابع مشابه
Comparison Between Effect of Lidocaine, Morphine and Ketamine Spray on Post-Tonsillectomy Pain in Children
BACKGROUND An effective pain therapy to block or modify the physiological responses to stress has become an essential component of modern pediatric anesthesia and surgical practice. OBJECTIVES The goal of this study was to compare the analgesic effects of the spray forms of; lidocaine, morphine, ketamine, and normal saline on post-tonsillectomy pain scores in children. PATIENTS AND METHODS ...
متن کاملEffect of Ketamine on Post-Tonsillectomy Sedation and Pain Relief
Introduction: Tonsillectomy is the one of the most common types of surgery in children, and is often accompanied by post-operative pain and discomfort. Methods of pain control such as use of non-steroidal anti-inflammatory drugs (NSAIDs), narcotics, and local anesthetics have been used, but each have their own particular side effects. In this study we investigated the effect of ketamine on post...
متن کاملEffect of Ketamine on Post-Tonsillectomy Sedation and Pain Relief.
INTRODUCTION Tonsillectomy is the one of the most common types of surgery in children, and is often accompanied by post-operative pain and discomfort. Methods of pain control such as use of non-steroidal anti-inflammatory drugs (NSAIDs), narcotics, and local anesthetics have been used, but each have their own particular side effects. In this study we investigated the effect of ketamine on post-...
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متن کاملeffect of ketamine on post-tonsillectomy sedation and pain relief
introduction: tonsillectomy is the one of the most common types of surgery in children, and is often accompanied by post-operative pain and discomfort. methods of pain control such as use of non-steroidal anti-inflammatory drugs (nsaids), narcotics, and local anesthetics have been used, but each have their own particular side effects. in this study we investigated the effect of ketamine on post...
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The aim of this study was to determine the effect of thiopental sodium with that of midazolam-ketamine on relieving agitation after tonsillectomy in children. In a clinical trial, 50 children aged 5-10 years, candidates for tonsillectomy, were randomly divided into two 25-member groups. In the first group, thiopental sodium 5mg/kg/IV, and in the second group combination of midazolam 0.01 mg/kg/...
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عنوان ژورنال:
anesthesiology and pain medicineجلد ۲، شماره ۱، صفحات ۱۷-۲۱
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