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Preoperative intravenous dexamethasone combined with glossopharyngeal nerve block: role in pediatric postoperative analgesia following tonsillectomy

  • Sherif K. MohamedEmail author
  • Abdelrady S. Ibraheem
  • Mohammed G. Abdelraheem
Miscellaneous

Abstract

Tonsillectomy is one of the most frequently performed ambulatory surgical procedures in children (Litman et al. in Anesth Analg 78:478–481, 1994). Several techniques have been described for alleviation of pain (Ginstrom et al. in Acta Otolaryngol 125:972–975, 2005). the objective of this study determination of the postoperative analgesic efficacy of the pre-surgical intravenous administration of dexamethasone together with glossopharyngeal nerve block (GNB) in children undergoing tonsillectomy. Prospective double blind randomized control study using both pre-operative injection of 0.5 mg/kg dexamethasone iv and 3 ml of 0.5% bupivacaine local injection for bilateral glossopharyngeal nerve block. Patients in group B had significantly less visual analogue scale values, longer absolute analgesia time, lesser swallowing difficulty and they were discharged earlier from the hospital when compared to patients in both groups D and G. Using both pre-operative dexamethasone IV injection with GNB has reduced postoperative pain and morbidity to a great extent than using either alone.

Keywords

Tonsillectomy Pain Dexamethasone Glossopharyngeal 

Notes

Acknowledgments

Informed consent was obtained from each patient and the Institutional Review Board of Ain-Shams University Hospital approved the study protocol. The researchers supported this work fund.

Conflict of interest statement

We declare that there are no claims or conflicts of interest.

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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Sherif K. Mohamed
    • 1
    Email author
  • Abdelrady S. Ibraheem
    • 2
  • Mohammed G. Abdelraheem
    • 2
  1. 1.ENT DepartmentAin-Shams UniversityCairoEgypt
  2. 2.Anesthesia and ICU DepartmentAssiut UniversityAsyûtEgypt

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