| Comparison of Diclofenac or Fentanyl for Pain Following Tonsillectomy. |
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Wha Ja Kang, Ok Young Shin, Moo Il Kwon, Young Kyoo Choi, Jae Wook Yoo, Joong Saeng Cho |
1Department of Anesthesiology, College of Medicine, Kyunghee University, Seoul, Korea.
2Department of Otolaryngology, College of Medicine, Kyunghee University, Seoul, Korea. |
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| Abstract |
BACKGROUND
This study was designed to compare intramuscular diclofenac with intravenous fentanyl in the prevention of pain after tonsillectomy and adenoidectomy for day-surgery.
METHODS
We studied 60 patients, aged 3-13 years, undergoing tonsillectomy with or without adenoidectomy. Patients were randomly assigned to receive placebo injecton (Group 1), intramuscular diclofenac 1 mg/kg (Group 2) or intravenous fentanyl 1 microgram/kg (Group 3) after induction of anesthesia. Pain was evaluated by using an observer pain score for the first 30 min, 60 min and 4 hrs postoperatively.
RESULTS
It is statistically significant that group 2 and group 3 had lesser pain than group 1 at 30 min and 60 min.
But there is no difference among any groups at 4 hr postoperatively.
CONCLUSIONS
We conclude that diclofenac may have advantages compared to fentanyl in safety and convenience for the treatment of pain after tonsillectomy in children. |
| Key Words:
Analgesics, diclofenac, fentanyl; Pain, postoperative; Surgery, tonsillectomy |
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