Basheer P. M. A1, Mubarak K. K2
BACKGROUND
Tonsillectomy is a common surgical procedure done in children. Adequate intraoperative and post-operative analgesia is required for a smooth postoperative recovery in these children. Among the various modalities, opioids are still used for this due to their effective analgesic property, despite their undesirable side effects. The aim and Objectives of the study is to compare the effects of fentanyl and pethidine for intraoperative analgesia and post-operative recovery in children undergoing elective tonsillectomy.
MATERIALS AND METHODS
80 children between 5 to 15 years of age with American Society of Anaesthesiologists Physical Status (ASA PS) class I and II posted for elective tonsillectomy were selected and randomly divided into two equal groups A & B. Group A was given fentanyl 1. 5 μg/kg body weight and Group B, pethidine 0. 75 mg/kg body weight intravenously just before the induction of general anaesthesia. Intraoperative parameters measured for assessing inadequate analgesia were heart rate (HR), systolic blood pressure (SBP), arterial oxygen saturation (SpO2). In the post-operative period the parameters noted were heart rate (HR), systolic blood pressure (SBP), arterial oxygen saturation (SpO2), sedation and pain level. Any complications during the post- operative period were also noted.
CONCLUSION
In this study we found that both fentanyl and pethidine provided adequate intraoperative analgesia for children undergoing elective tonsillectomy, without any significant effect on the postoperative recovery. The differences in analgesia between the two groups were not statistically significant.
