title: [Relief of pain after tonsillo-adenoidectomy in preschool-age children ].
abstract: Relief of pain after tonsilloadenoidectomy in preschool children is the precondition of good postoperative recovery of that group of patients. The aim of this project is to study, to estimate and to relieve the pain. It focuses on dosage and ways of using medication, and establish the difference between Paracetamol and Ibuprofen i.e. their respective effects after oral, rectal or rectal-oral application. This (prospective/open-ended) study included 50 children recovering from tonsilloadenoidectomy, 5.7 years of age on average, classified into 5 groups according to medication used and method of treatment. Postoperative pain was evaluated using accepted anaesthesiological criteria with 3 scales of pain estimation: cognitive, behavioral and vegetative, also taking into consideration side effects and liquid intake. In this study Ibuprofen proved to be a stronger, more efficient and longer active drug compared to Paracetamol. There was no irritation in the digestive system and there was a small number of side effects. In conclusion, using Ibuprofen first orally then rectally proved to provide a quick and long painless period of postoperative recovery provided that children do not swallow it.
authors.affiliation: Department of Oto-Rhino-Laryngology, Clinical Centre, Novi Sad.
authors.forename: Maja
authors.initials: M
authors.lastname: Buljcik
authors.forename: Dusan
authors.initials: D
authors.lastname: Milosević
authors.forename: Zoran
authors.initials: Z
authors.lastname: Komazec
mesh_terms: D000082:Acetaminophen / Q000627:therapeutic use; D000233:Adenoidectomy; D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007052:Ibuprofen / Q000627:therapeutic use; D007223:Infant; D008297:Male; D010147:Pain Measurement; D010149:Postoperative Pain / Q000188:drug therapy*; D011446:Prospective Studies; D014068:Tonsillectomy
chemical_list: D018712:Analgesics, Non-Narcotic; D000082:Acetaminophen; D007052:Ibuprofen