Efficacy of single dose perioperative intravenous steroid (Dexamethasone) for postoperative pain relief in tonsillectomy patients

Journal of the College of Physicians and Surgeons Pakistan

Volumn 22, Issue 6, 2012, Pages 349-352

  Buland, Khalid ^a   Zahoor, Muhammad Umar ^a   Asghar, Adnan ^a   Khan, Shahram ^b   Zaid, Ameer Yasser ^c  

^a Malir National University of Medical Sciences   (Pakistan)

^b Operation Theatre   (Pakistan)

^c PAF Hospital   (Pakistan)

Author keywords

Dexamethasone; Pain relief; Tonsillectomy

Indexed keywords

DEXAMETHASONE; STEROID;

ADOLESCENT; ADULT; ANALGESIA; ANESTHESIA INDUCTION; ARTICLE; CHILD; CONTROLLED STUDY; DRUG EFFICACY; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; POSTOPERATIVE PAIN; QUASI EXPERIMENTAL STUDY; SINGLE DRUG DOSE; TONSILLECTOMY; VISUAL ANALOG SCALE;

ADOLESCENT; ADULT; CHILD; DEXAMETHASONE; FEMALE; GLUCOCORTICOIDS; HUMANS; MALE; PAIN MEASUREMENT; PAIN, POSTOPERATIVE; TONSILLECTOMY; TREATMENT OUTCOME;

EID: 84864411601     PISSN: 1022386X     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (20)

1. Temple RH, Timms MS. Paediatric coblation tonsillectomy. Int J Pediatr Otorhinolaryngeal 2001; 61:195-8.
2. Beattie J. Tonsillectomy and adenoidectomy. In: Pollard BJ, editor. Handbook of clinical anaesthesia. 2nd ed. Edinburgh: Churchill Livingstone; 2004. p. 357-9.
3. Randall DA, Hoffer ME. Complications of tonsillectomy and adenoidectomy. Otolaryngol Head Neck Surg 1998; 118:61-8.
4. Scheckenbach K, Bier H, Hoffmann TK, Windfuhr JP, Bas M, Laws HJ, et al. [Risk of haemorrhage after adenoidectomy and tonsillectomy. Value of the pre-operative determination of the partial thromboplastin time, prothrombin time and platlet count]. HNO 2008; 56:312-20. German.
5. Zakirullah. Post-tonsillectomy and adenotonsillectomy morbidity and complications at district Headquarter Hospital, Daggar. J Ayub Med Coll 2001; 13:4-6.
6. Kaygusuz I, Susaman N. The effect of dexamethasone, bupivacaine and topical lidocaine spray on pain after tonsillectomy. Int J Peditr Otolaryngol 2003; 67:737-42.
7. Gupta AK, Gupta S, Meena DS, Sharma U. Post-tonsillectomy pain: different modes of pain relief. Indian J Otolaryngol Head Neck Surg 2002; 54:136-9.
8. Kerekhanjanarong V, Tang-On N, Supiyaphun P, Sastarasadhit V. Tonsillar fossa steroids injection for reduction of the post- tonsillectomy pain. J Med Assoc Thai 2001; 84:391-5.
9. Kadar AA, Obaid MA. Effect on postoperative pain after local application of Bupivacaine in the tonsillar fossa: a prospective single blind controlled trial. J Pak Med Assoc 2003; 53:422-6.
10. Naylor RJ, Inall FC. The physiology and pharmacology of postoperative nausea and vomiting. Anesthesia 1994; 49: 2-5.
11. Süleyman H, Demircan B, Karagöz Y. Anti-inflammatory and side effects of cyclooxygenase inhibitors. Pharmacol Rep 2007; 59:247-58.
12. Robinson SR, Purdie GL. Reducing post-tonsillectomy pain with cryoanalgesia: a randomized controlled trial. Laryngoscope 2000; 110:1128-31.
13. Brunton LL. Goodman and Gillman's the pharmacological basis of therapeutics. 11th ed. New York: McGraw-Hill 2005.
14. Carr MM, Williams JG, Carmichael L, Nasser JG. Effect of steroids on post-tonsillectomy pain in adults. Arch Otolaryngol Head Neck Surg 1999; 125:1361-4.
15. Kiderman A, Yaphe J, Bregman J, Zemel T, Furst AL. Adjuvant prednisone therapy in pharyngitis: a randomised controlled trial from general practice. Br J Gen Pract 2005; 55:218-21.
16. Marvez-Valls EG, Ernst AA, Gray J, Johnson WD. The role of beta-methasone in the treatment of acute exudative pharyngitis. Acad Emerg Med 1998; 5:567-72.
17. Wei JL, Kasperbauer JL, Weaver AL, Boggust AJ. Efficacy of single-dose dexamethasone as adjuvant therapy for acute pharyngitis. Laryngoscope 2002; 112:87-93.
18. O'Brien JF, Meade JL, Falk JL. Dexamethasone as adjuvant therapy for severe acute pharyngitis. Ann Emerg Med 1993; 22: 212-5.
19. Tewary AK, Cable HR, Barr GS. Steroids and control of post- tonsillectomy pain. J Laryngol Otol 1993; 107:605-6.
20. Stewart R, Bill R, Ullah R, McConaghy P, Hall SJ. Dexamethasone reduces pain after tonsillectomy in adults. Clin Otolaryngol 2002; 27:321-6.