Comparison of Peritonsillar Infiltration of Tramadol Ketamine and Placebo on Pediatric Posttonsillectomy Pain
Status:
Unknown status
Trial end date:
2019-05-01
Target enrollment:
Participant gender:
Summary
Adenotonsillectomy is one of the most common ambulatory surgical procedures performed to
children. Tonsillectomy or adenotonsillectomy have a high incidence of postoperative pain.
There is still debate about the optimal analgesia for this common surgical procedure.
Different methods have been described and used to reduce pain including; improved
intraoperative anesthetic pain regimens, use of corticosteroids, adjustment of surgical
technique, and intraoperative local anesthetic injection. Intraoperative local anesthetic is
a preventive or preemptive analgesia which is the analgesia given before painful stimuli to
prevent the subsequent pain. The main goal of the preventive analgesia is the pain relief
with minimum side effects. The role of local anesthetic infiltration in the reduction of
postadenotonsillectomy pain is still controversial. The objective of this study is to
investigate and compare the effectiveness of preincisional peritonsillar infiltration of
ketamine and tramadol for post-operative pain on children following adenotonsillectomy. This
is prospective, double-blinded randomized study.