Tonsillectomy
Conditions
Interventions
To evaluate the postoperative analgesic efficacy of intravenous morphine during tonsillectomy surgery, ninety children aged 3 to 10 years, ASA I, will be submitted to standardized general anesthesia a
Drug
Sponsors
Universidade Federal de Goiás
Universidade Federal de Goiás
Eligibility
Age
3 Years to 10 Years
Inclusion criteria
Inclusion criteria: Exclusive surgeries of tonsillectomies, associated or not with adenoidectomies; age between 3 and 10 years; weight between age-related Z 2 and + 2 scores and considered adequate; physical condition with absence of comorbidities or pathological processes other than those related to the process responsible for the surgery (upper airway infection and / or obstruction); absence of chronic diseases or any deficiencies; schedule the child's hospital admission on the morning of the day of surgery, since they were planned for 7:30 am; ability of the child to respond to the visual scale of postoperative pain assessment.
Exclusion criteria
Exclusion criteria: Children who were not accompanied by parents or caregivers in the postoperative period; patients in whom there was no follow-up of the standardized anesthetic technique in the study; tonsillectomy performed by warm techniques, such as electrocautery and coblation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| An increased analgesic efficacy with intravenous morphine is expected in the treatment of the pain of children submitted to adenotonsillectomy, in relation to the groups using only dipyrone and ibuprofen. This analgesic efficacy will be evaluated after the surgery and in the Post Anesthesia Recovery Room at the 30, 60, 120, 180 and 240 minute moments, according to a Face Pain Scale, which shows several faces, from one corresponding to the state of absence of pain up to that which reflects the worst pain (0: no pain 1: mild pain 2: moderate pain 3: pain 4: severe pain 5: very severe pain 6: worst pain possible). The evaluation by the scale will be done by the parents / guardians and then by the child, registered by an anesthetist and nursing team other than those who performed the anesthesia. None of them, anesthesiologist, nursing or the parents / guardians, will know which study group the child belongs to, leading to the blindness of the evaluation.;Patients who used morphine had lower postoperative pain rates, both by the evaluation by the children themselves and by the parents / guardians, through the Face Pain Scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Absence of increase in the time of awakening of anesthesia with morphine, defined as the time from the end of the surgery and the anesthetic to the tracheal extubation. Low adverse effects index, evaluated in the Post Anesthesia Recovery Room, where children will be observed and monitored for a minimum of 4 hours.;There was no difference in the time of awakening between the groups, nor in the incidence of adverse effects, both equal between the groups. | — |
Countries
Brazil
Contacts
Public ContactMarcus de Oliveira Araújo
Universidade Federal de Goiás
Outcome results
None listed