Comparison of Diclofenac or Fentanyl for Pain Following Tonsillectomy.
10.4097/kjae.1999.36.4.679
- Author:
Wha Ja KANG
1
;
Ok Young SHIN
;
Moo Il KWON
;
Young Kyoo CHOI
;
Jae Wook YOO
;
Joong Saeng CHO
Author Information
1. Department of Anesthesiology, College of Medicine, Kyunghee University, Seoul, Korea.
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Analgesics, diclofenac, fentanyl;
Pain, postoperative;
Surgery, tonsillectomy
- MeSH:
Adenoidectomy;
Anesthesia;
Child;
Diclofenac*;
Fentanyl*;
Humans;
Pain, Postoperative;
Tonsillectomy*
- From:Korean Journal of Anesthesiology
1999;36(4):679-684
- CountryRepublic of Korea
- Language:Korean
-
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.
