Intravenous Dexamethasone Reduces Pain in Middle Ear Surgery
- سال انتشار: 1401
- محل انتشار: مجله علمی گوش و حلق و بینی ایران، دوره: 34، شماره: 6
- کد COI اختصاصی: JR_IJOTO-34-6_001
- زبان مقاله: انگلیسی
- تعداد مشاهده: 123
نویسندگان
Department of Anesthesiologie, Habib Bourguiba University Hospital, ۳۰۰۰ Sfax /Tunisia. Faculty of Medicine of Sfax; University of Sfax.
Department of Anesthesiologie, Habib Bourguiba University Hospital, ۳۰۰۰ Sfax /Tunisia. Faculty of Medicine of Sfax; University of Sfax.
Department of Anesthesiologie, Habib Bourguiba University Hospital, ۳۰۰۰ Sfax /Tunisia. Faculty of Medicine of Sfax; University of Sfax.
Department of Anesthesiologie, Habib Bourguiba University Hospital, ۳۰۰۰ Sfax /Tunisia. Faculty of Medicine of Sfax; University of Sfax.
Department of Otorhinolarygologie, Habib Bourguiba University Hospital, ۳۰۰۰ Sfax/Tunisia
Department of Anesthesiologie, Habib Bourguiba University Hospital, ۳۰۰۰ Sfax /Tunisia. Faculty of Medicine of Sfax; University of Sfax.
چکیده
Introduction:Few studies evaluated the treatment of postoperative pain in middle ear surgery.Materials and Methods:We conducted a randomized clinical trial to evaluate the efficacy of dexamethasone in the management of postoperative pain in middle ear surgery. Group G۱ received an intravenous injection of ۲ ml of physiological saline ۳۰ minutes before the end of the procedure. Group G۲ received a ۲ ml intravenous solution containing ۸ mg of dexamethasone, ۳۰ minutes before the end of the procedure. Pain perception was measured by the Visual an alogscale (VAS) every ۱۰min during the first hour and the nevery ۶ hours during the ۲۴ hours postoperatively. The delay of the first analgesic demand and the consumption of analgesics use during the first ۲۴ hours postoperatively, were recorded.Results:VAS values were lower in G۲at all measurement points during the first hour, as well as the first ۲۴h postoperatively (Mann-Whitney test, P< ۰.۰۵).The delay of the analgesic request was (۰ (۰-۶۰) for G۱ versus ۰ (۰-۸۰) for G۲, P=۰.۰۴, Mann-Whitney test). Morphine was used in ۴۴% of the patients in G۱ against ۱۹% for G۲ (P = ۰.۰۳۱). There was a significant difference between G۱ and G۲ in terms of the total dose of morphine consumed (P= ۰.۰۲۸, Mann-Whitney test). Paracetamol demand was lower in group ۲ at all points of assessment during the first ۲۴ hours postoperatively.Conclusions:Intravenous dexamethasone is effective in decreasing pain and analgesic requirement, during the first ۲۴ hours postoperatively, in patients undergoing middle ear surgery.کلیدواژه ها
Analgesia, Dexamethasone, Middle Ear, Postoperative painاطلاعات بیشتر در مورد COI
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