Solmaz, Filiz Alkaya Süleyman Demirel Üniversitesi - Tip Fakültesi - Anesteziyoloji ve Reanimasyon AD, Turkey , YIlmaz, Ali Abbas Ankara Üniversitesi - Tip Fakültesi - Anesteziyoloji ve Reanimasyon AD, Turkey , Hasdogan, Menekse Ankara Üniversitesi - Tip Fakültesi - Anesteziyoloji ve Reanimasyon AD, Turkey , Özatamer, Oya Ankara Üniversitesi - Tip Fakültesi - Anesteziyoloji ve Reanimasyon AD, Turkey , Alkis, Neslihan Ankara Üniversitesi - Tip Fakültesi - Anesteziyoloji ve Reanimasyon AD, Turkey

Comparison of efficiency of preemptive tramadol and paracetamol in postoperative pain therapy in pediatrics undergoing adenotonsillectomy and tonsillectomy

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Objective: Postoperative pain is the most important problem affecting the life quality of pediatric patients undergoing adenotonsillectomy and tonsillectomy. In this study, we compared the effects of preemptive tramadol, and paracetamol usage on postoperative pain and also the side effects of these therapies in pediatric patients undergoing adenotonsillectomy and tonsillectomy. Method: After the ethic committee approval, thirty patients aged between 3-12, undergoing adenotonsillectomy and tonsillectomy were included in the current study. Oral 0.5 mg kg^-1 midazolam were given to all patients one hour prior to the induction of anesthesia. Patients were randomized into two groups. Group 1 (n=15) patients were administered 2 mg kg^-1 tramadol PO, and 20 mg kg^-1 paracetamol suppository to Group 2 (n=15) as preemptive. After the standard monitorization, 8% sevoflurane with 100% O2 were administered to the patients aged between 3 5 (n=10) and propofol 2.2 mg kg-1 iv and 0.6 mg kg-1 iv rocuronium were administered to the patients aged between 6-12 (n=20). Anesthesia was maintained 3 4% sevoflurane with 50% N2O + 50% O2 after the endotracheal entubation in both groups. Hemodynamic parameters, duration of anesthesia and surgery were recorded. Recovery and pain scores were also recorded at the 1th, 2nd and the 4th hours after the operation. As a rescue analgesic, suppository 22.5 mg kg^-1 paracetamol were planned for all patients. Patients were followed up by means of analgesic requirements and side effects during the postoperative 24 hours. Results: No differences were determined in terms of demographic and hemodynamic data, recovery and pain scores, postoperative complications between two groups. SpO2 decreased to 96 % in 4 patients in Group 1 at the 1st hour of postoperative period. Rescue analgesic was applied to 11 patients and 9 patients, in Group 1 and 2 respectively. This difference was not statistically significant (p 0.05).Conclusion: In conclusion the analgesic efficiency, and side effect profiles of tramadol and paracetamol are similar in pediatric patients undergoing adenotonsillectomy and tonsillectomy.

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Tonsillectomy , Adenotonsillectomy , Analgesics , Tramadol , Paracetamol , Preemptive Analgesia , Postoperative Pain

Medical Journal Of Suleyman Demirel University

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