Tonsillectomy is one of the most common surgical operations performed on children, and it is frequently linked with an increased risk of complications such as acute discomfort when swallowing and postoperative nausea and vomiting (PONV).The most prevalent causes for postponing discharge home are poorly managed pain and PONV.
Tonsillectomy is one of the most common surgical operations performed on children, and it is frequently linked with an increased risk of complications such as acute discomfort when swallowing and postoperative nausea and vomiting (PONV). The most prevalent causes for postponing discharge home are poorly managed pain and PONV. As a result, these occurrences should be avoided and managed utilizing a multimodal strategy Because of its low cost and adequate safety profile in the treatment of post-tonsillectomy pain, acetaminophen is presently regarded the fundamental analgesic in this situation. Furthermore, acetaminophen has been recommended for use in children, and its pharmacological safety in this age group has been shown. Dexamethasone is another medication that is used to reduce postoperative pain and PONV in various procedures.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
90
patients will receive intravenous paracetamol 30mg/kg (max 90 mg/kg/day)
patients will receive dexamethasone 0.5mg/kg IV.
patients will receive placebo 10 ml normal saline IV.
Banha Faculity of Medicine
Banhā, Elqalyoubea, Egypt
Total opioid consumption at PACU
total amount of opioid that will be taken by the patients postoperatively.
Time frame: two hours postoperatively
objective pain score
pain score will be assessed by 4 points pain scale 0=no pain 1 = mild pain 2= moderate pain 3=severe pain
Time frame: at 0 minute , 30 minutes ,1 hour and 2 hours at PACU
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