Pain, Acute Clinical Trial
Official title:
Comparative Study Between the Effect of Diclofanic and Ketorolac in Post Tonsillectomy Pain Management
Compare between the analgesic efficacy of diclofenac sodium and ketorolac tromethamine in post-tonsillectomy pain management.and Compare between the effect of diclofenac sodium and ketorolac tromethamine on post-tonsillectomy bleeding
patients will be randomly allocated to two groups of 50 patients each Group (A): will receive
intra-operative diclofenac sodium at dose of 0.3 mg/kg intravenously.
Group (B): will receive intra-operative ketorolac tromethamine at dose of 0.5 mg/kg
intravenously.
Then the two groups will continue postoperatively on the same drug received intra-operative
I. Intra-operative data:
Bleeding score will be assessed by the surgeon at the end of the operation using the
following Scale for bleeding assessment (0 = no bleeding, 1 = bleeding as usual, 2 = bleeding
more than usual, 3 = profuse, 4 = excessive, and lastly 5 = excessive and continuous).
II. Early Post-operative data:
1. Post- tonsillectomy bleeding assessments;
- Bleeding score will be recorded immediately postoperative and 3, 6, 12 and 24h
postoperatively.
- Hospital re-admission because of bleeding.
- Re-operation because of bleeding.
2. Post- tonsillectomy pain assessments; Pain intensity will be assessed postoperatively by
the verbal rating scale (VRS; 0 = no pain, 1 = mild pain, 2 = moderate pain, 3= severe
pain, and lastly 4= excruciating pain). VRS assessment will be performed immediately
postoperative and 3, 6, 12 and 24h postoperatively. Analgesia will be given if requested
or if the VRSâ„3. Patients in Group A will receive diclofenac sodium 0.3 mg/kg iv, while
patients in Group B will receive ketorolac tromethamine 0.5 mg/kg.
The total consumption of analgesics used in each group in the first 24 h postoperative will
be calculated and the time of the first request for analgesia will be recorded.
- Time needed to restore normal dietary habits.
IV. Late Post-operative data:
As aweekly follow up for 2 weeks :
1. bleeding tendency
2. Dysphagia.
- Time needed to restore normal dietary habits
;
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