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...

OBJECTIVE To assess the efficacy of pre-incisional peritonsillar infiltration of two doses of ketamine on postoperative analgesia compared with peritonsillar normal saline in children undergoing tonsillectomy. STUDY DESIGN Double blind, randomized controlled trial. PLACE AND DURATION OF STUDY Department of Anaesthesiology, Surgical Intensive Care and Pain Management, Civil Hospital, Karachi...

OBJECTIVE To determine re-admission rate for post-tonsillectomy pain; the primary and secondary post-tonsillectomy bleeding rate; the percentage requiring control of post-tonsillectomy bleeding in children undergoing coblation tonsillectomy. STUDY DESIGN A descriptive study. PLACE AND DURATION OF STUDY Royal Hospital for Sick Children (Yorkhill Hospital) between 2004 and 2006. METHODOLOGY...

We studied the article by Yeganeh Mogadam et al. (1) with great interest, “comparison of analgesic effect between gabapentin and diclofenac on Post-Operative Pain in Patients Undergoing Tonsillectomy”. The authors had demonstrated that administration of preoperative gabapentin and diclofenac significantly reduced postoperative pain, and the amount of opioid consumption. Although the article was...

Background: Tonsillectomy is one of the most common surgeries performed by an otolaryngologist, with post operative pain during initial 24 hours being challenging concerns. This makes it a need to find suitable mode for managing imperative. study aims to: assess control ropivacaine 0.25% and bupivacaine which among these two drugs are better in controlling safer. Methods: The 70 patients were s...

Objective: To compare coblation and bipolar diathermy tonsillectomy in adults in terms of operative time, operative blood loss, post operative pain and post operative complications. Patients and Methods: Thirty patients (aged 18-40 years) scheduled for tonsillectomy were enrolled in this study, the patients were randomized using sealed envelopes to have one tonsil removed by coblation and the o...

INTRODUCTION Even though notable advances in anaesthetic and surgical techniques have appeared in recent years, morbidity, and especially pain, associated with tonsillectomy is still an important clinical problem. OBJECTIVES Assess the influence of a specific protocol for the control of postoperative pain and compare the frequency of complications in patients with and without it. METHODS Th...

Objective: To compare the frequency of post-tonsillectomy hemorrhage and severity of pain by Dissection and Diathermy method of tonsillectomy. Material and Methods: All the cases (100) that presented during six months of duration were included in the study by Simple Random Sampling in the Department of ENT and Head and Neck Surgery, Holy Family Hospital, Rawalpindi from November 2009 to April 2...

BACKGROUND We have conducted this study to evaluate the effect of antibiotics, whether oral or intravenous, compared to no antibiotic protocol on post-tonsillectomy morbidity. METHODS A total of 270 patients aged 3 - 12 years were included in the study. Patients were assigned into three groups randomly; each group consisted of 90 patients. In the first group (group A), patients were given int...