Pain post operative
Conditions
Interventions
76 patients will be randomly distributed through envelopes, one for each group, randomization will be in two blocks: intervention and control. The medications will be prepared by a pharmacist and admi
In the awakening of anesthesia, also intravenous, Morphine and Ondasetrona. Group 2 (control) and: In the anesthetic induction will be administered intravenously, Dexamethasone, Clonidine and Placebo
In the awakening of anesthesia, also intravenous, Morphine and Ondasetrona.
Sponsors
Hospital da Criança Santo Antônio
Hospital da Criança Santo Antônio
Eligibility
Age
4 Years to 14 Years
Inclusion criteria
Inclusion criteria: Children between 4 and 14 years old, ASA (American Society of Anesthesiology) physical status I (healthy patient) and II (patient with mild illnesses); with scheduling of first tonsillectomy surgery with or without adenoidectomy; who had a consent form signed by the responsible person and the consent form, when necessary.
Exclusion criteria
Exclusion criteria: Those patients who had already undergone adenoidectomy surgery; with any chronic illness that requires daily fixed analgesia; with developmental delay; who did not understand the Portuguese language, who did not have parents living with them and those who perhaps they did not accept participation in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Expected outcome 1: To evaluate postoperative pain in children undergoing adenotonsillectomies, according to the pharmacological intervention group (dipyrone or placebo), using validated scales: "Children's and Infants'Postoperative Pain Scale" and "Visual Analog Scale", in the recovery room post anesthetic, at H0 (patient arrival); at H1 (in 1 hour); in H3 (in 3 hours) and in H6 (in 6 hours).;Outcome found 1: Postoperative pain remained controlled in at least 77.6% of children in relation to all moments verified (H0, H1, H2, H3 and H6), in the intervention group. Analyzing the intervention and placebo groups, it was evident that the proportion in pain control was 54.2% versus 45.8%, respectively, showing the greatest difference in the H3 moment between the stages evaluated. | — |
Secondary
| Measure | Time frame |
|---|---|
| Expected outcome 2: Compare the need to use rescue opioids in the postoperative period between the intervention and placebo groups, according to doses administered during the stay in the recovery room. ;Outcome found 2: A reduction in the need for the use of rescue opioids in the postoperative period was observed in the intervention group, ranging from 6 to 9% fewer doses administered during the stay in the recovery room. | — |
Countries
Brazil
Contacts
Public ContactMaira Isis dos Stangler
Hospital da Criança Santo Antônio
Outcome results
None listed