Overview
The aim of this study is to compare the efficacy of adding paracetamol to systemic non-steroidal anti-inflammatory drugs (NSAIDs) versus adding dexamethasone as local infiltration to paracetamol on post tonsillectomy pain control.
Description
A Prospective Randomized Controlled study. The study will be conducted at Ain Shams University hospital, Otolaryngology Department. Study period is 6 months from approval of the protocol. Study Participants will be recruited from outpatient ENT clinic, and ENT department inpatients.
Eligibility
Inclusion Criteria:
- Age: Between 4-10 years.
- Indications of tonsillectomy such as:
- Recurrent acute attacks at least 7 episodes in the past year or at least 5 episodes per year for 2 years or at least 3 episodes per year for 3 years.
- Chronic tonsillitis and hypertrophy of tonsils causing sleep apnea, difficulty in deglutition, interference in speech.
- Tonsillectomy by cold dissection only.
- American Society of Anesthesiologists (ASA) classification 1,2 (Normal Health, Mild systematic disease).
Exclusion Criteria:
- Patients with age less than 4 and more than 10 years.
- Indications of tonsillectomy other than chronic tonsillitis such as lymphoma.
- Patients on chronic steroid therapy
- Hemoglobin level less than 10 gm/dL
- Presence of acute infection in the upper respiratory tract, acute tonsillitis
- American Society of Anesthesiologists (ASA) classification ASA 3,4 (Severe systematic disease such as uncontrolled Diabetes, cardiac disease, liver or kidney disease, life threating medical conditions)
- Regular use of analgesics within a week of surgery.