Analgesic efficacy of topical tramadol in the control of postoperative pain in children after tonsillectomy

dc.contributor.authorAkbay, Buket Kocaman
dc.contributor.authorYıldızbaş, Şahnur
dc.contributor.authorGüçlü, Ender
dc.contributor.authorYılmaz, Süleyman
dc.contributor.authorİskender, Abdülkadir
dc.contributor.authorÖztürk, Özcan
dc.date.accessioned2020-04-30T22:39:19Z
dc.date.available2020-04-30T22:39:19Z
dc.date.issued2010
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000282701400008en_US
dc.descriptionPubMed: 20563735en_US
dc.description.abstractPain control after tonsillectomy is still a controversial issue. Topical approaches have the advantage of pain control with good patient acceptability. Therefore, this study was conducted to evaluate the effects of topical tramadol on postoperative pain and morbidity in children undergoing tonsillectomy. A prospective, randomized, double-blind, controlled clinical study was designed. Forty children aged between 4 and 15 years, ASA I-II, scheduled for elective tonsillectomy and/or adenoidectomy were randomized into two groups. For patients in Group T (n = 20) swabs soaked with 2 mg/kg tramadol diluted in 10 ml saline were applied to both of their tonsillar fossa for 5 min; in the control group (n = 20) swabs soaked with 10 ml saline were applied. Postoperative pain scores, bleeding, nausea, vomiting, abdominal discomfort, constipation, pain in the throat, painful swallowing, fever, otalgia, trismus, and halitosis were recorded at the first, fifth, thirteenth, seventeenth, twenty-first, and twenty-fourth postoperative hours and the week after tonsillectomy. Pain scores were found to be significantly lower at the 21st hour and on postoperative day seven in the tramadol group compared with the control group (p < 0.05). Mean daily pain scores ranged from Day 1: 0.34 (+/- 0.21) to Day 7: 0.11 (+/- 0.08) in the tramadol group and Day 1: 0.53 (+/- 0.14) to Day 7: 0.42 (+/- 0.15) in the control group. There were no significant differences in morbidity between the groups (p > 0.05). Topical 5% tramadol with its local anesthetic effect seems to be an easy, safe, and comfortable approach for pain management in children undergoing tonsillectomy.en_US
dc.identifier.doi10.1007/s00540-010-0978-2en_US
dc.identifier.endpage708en_US
dc.identifier.issn0913-8668
dc.identifier.issn1438-8359
dc.identifier.issue5en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage705en_US
dc.identifier.urihttps://doi.org/10.1007/s00540-010-0978-2
dc.identifier.urihttps://hdl.handle.net/20.500.12684/2682
dc.identifier.volume24en_US
dc.identifier.wosWOS:000282701400008en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringer Japan Kken_US
dc.relation.ispartofJournal Of Anesthesiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPainen_US
dc.subjectTonsillectomyen_US
dc.subjectTopicallyen_US
dc.subjectTramadolen_US
dc.titleAnalgesic efficacy of topical tramadol in the control of postoperative pain in children after tonsillectomyen_US
dc.typeArticleen_US

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