INTRODUCTION Various hemostatic and analgesic agents and techniques have been used to reduce intraoperative and postoperative hemorrhage and pain in tonsillectomy.Aims and objective; The current study aimed to compare the effect of using adrenaline plus tramadol and normal saline in maintaining hemostasis and control of pain in cold dissection tonsillectomy. MATERIALS AND METHODS This prospec...

OBJECTIVES/HYPOTHESIS The study aims to reconcile conflicting published reports regarding the clinical efficacy of a single intraoperative dose of dexamethasone in reducing post-tonsillectomy morbidity. STUDY DESIGN Systematic overview (meta-analysis). METHODS To critically evaluate the existing evidence, we performed a formal meta-analysis of eight double-blinded, randomized, placebo-contr...

Introduction: This study aimed to compare operation time, intraoperative bleeding and postoperative pain between cold dissection tonsillectomy and harmonic scalpel tonsillectomy. Materials and Methods: In this single-blinded clinical trial, 32 patients aged 14–48 were enrolled. Each patient randomly underwent tonsillectomy using the harmonic scalpel on one side and cold dissection on the other ...

Objective: To determine the efficacy of per-operative single intravenous bolus dose of Dexamethasone in reducing post-tonsillectomy pain. Material and Methods: This was a Quasi experimental study conducted at the ENT Department, Hayatabad Medical Complex, (HMC), Peshawar from March 2010 to March 2011. A total of 108 patients included in this study were divided in to two groups, group A receivin...

aim and background:   pain management is very important in tonsillectomy in order to reduce the suffering and restlessness in children. the aim of this study was to investigate the effect of peritonsillar injection of lidocaine and placebo preoperatively on postoperative pain relief. methods and materials:   this randomized triple blind clinical trial conducted on sixty 3-12- year-old children ...

Introduction: Tonsillectomy is a painful surgical procedure accompanied by moderate to severe pain several days after surgery. Despite the often tonsillectomy, under-treatment of has been consistently reported. The cause this inadequate education health care professionals regarding management. Objectives: aim study was assess perioperative treatment given tonsillectomy patients in otorhinolaryn...

BACKGROUND Surface electromyographic (sEMG) study of post-tonsillectomy swallow-evoked muscular reactions was performed in order to evaluate the efficacy and safety of oxycodone and dexamethasone in pain management after tonsillectomy. MATERIAL/METHODS 90 randomly chosen operated adults were divided into three groups. Group 1 (n = 30) was treated with OxyContin (Oxycodone) injections; Group 2...

BACKGROUND Remifentanil can be an alternative to N(2)O in general anesthesia. Intraoperative remifentanil may lead to acute opioid tolerance. This study aims to assess the effect of remifentanil substituted for 70% N(2)O on postoperative pain in children undergoing tonsillectomy/adenoidectomy. In addition, we evaluated the effect of remifentanil infusion on incidence of emergence agitation in t...