Pre-versus postoperative tramadol instillation: both are effective for decreasing pain and/or agitation in pediatric adenotonsillectomy

ÖZ, Gökşen; APAN, Alparslan; Aydın, Gülçin; KÖSE, Emine Arzu

Pre-versus postoperative tramadol instillation: both are effective for decreasing pain and/or agitation in pediatric adenotonsillectomy

Gülçin AYDIN, (Kırıkkale Üniversitesi, Tıp Fakültesi, Anesteziyoloji Anabilim Dalı, Kırıkkale, Türkiye)

Alparslan APAN, (Kırıkkale Üniversitesi, Tıp Fakültesi, Anesteziyoloji Anabilim Dalı, Kırıkkale, Türkiye)

Emine Arzu KÖSE, (Kırıkkale Üniversitesi, Tıp Fakültesi, Anesteziyoloji Anabilim Dalı, Kırıkkale, Türkiye)

Gökşen ÖZ (Kırıkkale Üniversitesi, Tıp Fakültesi, Anesteziyoloji Anabilim Dalı, Kırıkkale, Türkiye)

Turkish Journal of Medical Sciences

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Yıl: 2013 Cilt: 43 Sayı: 6 Sayfa Aralığı: 899 - 904 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Pre-versus postoperative tramadol instillation: both are effective for decreasing pain and/or agitation in pediatric adenotonsillectomy

Öz:

Aim: The present study aimed to investigate the possible influence of nasopharyngeal preoperative or postoperative tramadol instillation on postoperative pain and agitation in pediatric patients undergoing adenoidectomy, with or without tonsillectomy and tube placement. Materials and methods: Ninety pediatric patients were included in the study. Induction of anesthesia was achieved with 2.5 mg kg−1 propofol and 0.6 mg kg−1 rocuronium bromide. To maintain the anesthesia, 2% 2.5% sevoflurane in an oxygen-N2 O mixture (FiO2= 35%) was administered. In Group I (n = 30), 1 mg kg−1 tramadol was given 10 min before adenoidectomy, and in Group II (n = 30) it was administered 10 min after adenoidectomy was achieved on the adenoid tissue. Saline, at the same volume, was injected as a control in Group III (n = 30). Patients were evaluated for postoperative pain, agitation score, and modified Aldrete score (MAS) in recovery. Results: When compared with the treatment groups, pain scores and analgesic requirements in the control group significantly increased (P < 0.001). Agitation scores were also significantly higher in the same group. Time-related MASs were significantly lower in the control group in the early recovery period. Conclusion: Preoperative or postoperative tramadol instillation administered to the adenoidectomy area significantly decreased postoperative analgesic requirements and agitation.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Aydın G, APAN A, KÖSE E, ÖZ G (2013). Pre-versus postoperative tramadol instillation: both are effective for decreasing pain and/or agitation in pediatric adenotonsillectomy. , 899 - 904.
Chicago	Aydın Gülçin,APAN Alparslan,KÖSE Emine Arzu,ÖZ Gökşen Pre-versus postoperative tramadol instillation: both are effective for decreasing pain and/or agitation in pediatric adenotonsillectomy. (2013): 899 - 904.
MLA	Aydın Gülçin,APAN Alparslan,KÖSE Emine Arzu,ÖZ Gökşen Pre-versus postoperative tramadol instillation: both are effective for decreasing pain and/or agitation in pediatric adenotonsillectomy. , 2013, ss.899 - 904.
AMA	Aydın G,APAN A,KÖSE E,ÖZ G Pre-versus postoperative tramadol instillation: both are effective for decreasing pain and/or agitation in pediatric adenotonsillectomy. . 2013; 899 - 904.
Vancouver	Aydın G,APAN A,KÖSE E,ÖZ G Pre-versus postoperative tramadol instillation: both are effective for decreasing pain and/or agitation in pediatric adenotonsillectomy. . 2013; 899 - 904.
IEEE	Aydın G,APAN A,KÖSE E,ÖZ G "Pre-versus postoperative tramadol instillation: both are effective for decreasing pain and/or agitation in pediatric adenotonsillectomy." , ss.899 - 904, 2013.
ISNAD	Aydın, Gülçin vd. "Pre-versus postoperative tramadol instillation: both are effective for decreasing pain and/or agitation in pediatric adenotonsillectomy". (2013), 899-904.

APA	Aydın G, APAN A, KÖSE E, ÖZ G (2013). Pre-versus postoperative tramadol instillation: both are effective for decreasing pain and/or agitation in pediatric adenotonsillectomy. Turkish Journal of Medical Sciences, 43(6), 899 - 904.
Chicago	Aydın Gülçin,APAN Alparslan,KÖSE Emine Arzu,ÖZ Gökşen Pre-versus postoperative tramadol instillation: both are effective for decreasing pain and/or agitation in pediatric adenotonsillectomy. Turkish Journal of Medical Sciences 43, no.6 (2013): 899 - 904.
MLA	Aydın Gülçin,APAN Alparslan,KÖSE Emine Arzu,ÖZ Gökşen Pre-versus postoperative tramadol instillation: both are effective for decreasing pain and/or agitation in pediatric adenotonsillectomy. Turkish Journal of Medical Sciences, vol.43, no.6, 2013, ss.899 - 904.
AMA	Aydın G,APAN A,KÖSE E,ÖZ G Pre-versus postoperative tramadol instillation: both are effective for decreasing pain and/or agitation in pediatric adenotonsillectomy. Turkish Journal of Medical Sciences. 2013; 43(6): 899 - 904.
Vancouver	Aydın G,APAN A,KÖSE E,ÖZ G Pre-versus postoperative tramadol instillation: both are effective for decreasing pain and/or agitation in pediatric adenotonsillectomy. Turkish Journal of Medical Sciences. 2013; 43(6): 899 - 904.
IEEE	Aydın G,APAN A,KÖSE E,ÖZ G "Pre-versus postoperative tramadol instillation: both are effective for decreasing pain and/or agitation in pediatric adenotonsillectomy." Turkish Journal of Medical Sciences, 43, ss.899 - 904, 2013.
ISNAD	Aydın, Gülçin vd. "Pre-versus postoperative tramadol instillation: both are effective for decreasing pain and/or agitation in pediatric adenotonsillectomy". Turkish Journal of Medical Sciences 43/6 (2013), 899-904.