Tonsillectomy is one of the most frequently performed surgical procedures in children. It remains associated with a high morbidity related to postoperative vomiting (POV), pain, risk of bleeding, and dehydration due to impaired oral intake. Current medications for POV have limited efficacy and may even be associated with potential side-effects. Non-pharmacological techniques such as acupuncture has been investigated as alternatives to antiemetics and as additional treatment modalities for POV.
Postoperative vomiting (POV) is one of the most common complication in children undergoing tonsillectomy. Its incidence is between 62% and 73% when no prophylactic antiemetic is given. Because of Limited efficacy and side effects with antiemetics, many alternative treatment had been used. Acupuncture is simple, inexpensive, and noninvasive with minimal side effects. The objective of this study is to compare two prophylactic antiemetic treatments : * Dexamethasone (0.15 mg/kg) immediately after induction of anaesthesia * Acupuncture treatment (immediately after induction of anaesthesia and for approximately 20 minutes)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
120
Patients will receive Intravenous dexamethasone 0.15 mg/kg immediately after induction of anesthesia.
Acupuncture treatment (just after induction of anaesthesia and for approximately 20 minutes)
Faculty of Medicine Assuit University
Egypt, Assuit, Egypt
Incidence of POV after tonsillectomy with or without adenoidectomy
by 3 point ordinal scale
Time frame: 24 hours postoperatively
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