Author/Editor		Ivanova, E; Rutar, N; Marn-Skok, S; Benedik, J
Title		Postoperative analgesia with metamizol or piritramide in children after adenotonsillectomy
Type		članek
Source		In: Della-Rocca G, Giordano F, editors. Proceedings of the 17th anesthesia and ICU symposium "Alpe Adria"; 2004 Sep 24-25: Udine. Udine: University of Udine, Department of anesthesia and ICU,
Publication year		2004
Volume		str. 118-21
Language		eng
Abstract		Pain control is an important consideration after any surgical procedure. Especially in children, more attention and care are needed during the period of postoperative pain control which must be both sufficiently safe and effective. In this respect, intravenous analgesia provides optimal analgesic status with few side effects. Fifty paediatric patients scheduled for adenotonsillectomy were randomly divided into two groups. After induction patients in the first group received metamizol i.v. and patients in the second group received piritramide. The degree of analgesia was assessed every six hours until the second postoperative day. We concluded that metamizol is a better choice because of the shortest extubation time, lower pain scores six hours after surgery and a lower consumption of combinated analgesic suppositories than piritramide. Introduction: Tonsillectomy is the most common major surgical procedure performed in children and is defined as the surgical excision of the palatine tonsils. Haemorrhage is the most common complication and can also be the cause of nausea or vomiting because of swallowing blood. Other complications include also pain, dehydration, weight loss, fever, postoperative airway obstruction, pulmonary edema, local trauma to oral tissues, tonsillar remnants, voice changes, psychological trauma, night terrors or depression and death. Pain following tonsillectomy is a significant problem that tends to be underestimated. Especially in children, more attention and care are needed during the period of postoperative pain control which must be both sufficiently safe and effective. We performed a prospective study with fifty paediatric patients undergoing adenotonsillectomy to compare extubation time and analgesic efficacy of metamizol and piritramide. We also wanted to establish frequency of postoperative complication (nausea, vomiting, postoperative bleeding, perspiration and respiratory depression). (Abstract truncated at 2000 characters).
Descriptors		ADENOIDECTOMY TONSILLECTOMY PAIN, POSTOPERATIVE DIPYRONE PIRINITRAMIDE CHILD