EFFECT OF POSTOPERATIVE DEXAMETHASONE ON PAIN, EMESIS AND HAEMORRHAGE IN TONSILLECTOMY BY DISSECTION METHOD

Tonsillectomy

Authors

  • Maj Khalid Azam Khan Classified ENT Specialist CMH Muzaffarabad
  • Shahid Bin Faiz FC Hospital Quetta
  • Shazad Maqbool . Combined Military Hospital Lahore
  • Asad Qayyum . Al Maroof Hospital

Keywords:

Dexamethasone, Dissection method, Tonsillectomy

Abstract

Objectives: To compare the effect of postoperative intravenous dose of dexamethasone on morbidity in patients undergoing tonsillectomy.
Design: Randomized control trial.
Place and Duration of Study: This study was conducted in ENT Department Shaikh Khalifa Bin Zayed Al Nahyan Hospital (CMH) Muzaffarabadfrom 10th Jan 2010 to 15th Feb 2011.
Patients and Methods: After getting informed consent, a total of 60 patients who fulfilled the inclusion criteria were selected and tonsillectomy by dissection method was carried out. They were divided into two groups of 30 eachusing a random numbers table. Group A received 0.25 mg/kg body weight (maximum 20 mg) of Dexamethasone postoperatively intravenously for 03 days while group B (control group) did not receive any steroid.
Results: In group A, 80% patients had mild pain, 16.7% had moderate pain and 3.3% had a severe pain while in group B, 30% patients had mild pain, 6.7% had moderate pain and 63.3% had severe pain (p< 0.05). In group A, 76.7% patients had mild emesis while in group B, 86.7% had moderate emesis (p< 0.05). There was an insignificant difference in secondary hemorrhage.
Conclusion: Dexamethasone given postoperatively significantly reduces the morbidity that is pain, episodes of emesis thus early recovery to a normal lifestyle with no effect on secondary hemorrhage in patients undergoing Tonsillectomy by dissection method.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Downloads

Published

30-06-2013

How to Cite

Khan, M. K. A., Faiz, S. B., ., S. M., & ., A. Q. (2013). EFFECT OF POSTOPERATIVE DEXAMETHASONE ON PAIN, EMESIS AND HAEMORRHAGE IN TONSILLECTOMY BY DISSECTION METHOD: Tonsillectomy. Pakistan Armed Forces Medical Journal, 63(2), 154–157. Retrieved from https://pafmj.org/PAFMJ/article/view/2205

Issue

Section

Original Articles