Table of Contents

HK J Paediatr (New Series)
Vol 17. No. 2, 2012

HK J Paediatr (New Series) 2012;17;109-114

Original Article

Effect of Postoperative Topical Administration of Magnesium Sulfate on Pain Relief in Paediatric Adenotonsillectomy: A Randomised Controlled Study

S Vahabi, T Shoja, S Chaibakhsh, M Khak, N Saljoughi


Abstract

This study aimed to investigate its topical effectiveness in post operative pain. One hundred and ten American Society of Anesthesiologist classes I and II patients aged 4 to 14 scheduled for adenotonsillectomy, were included in the study. In group M, the tonsillar fossa was packed for 3 minutes via 2.5x2.5 folded sterile gauzes saturated with 2 mg/kg of 20% magnesium sulfate (a NMDA antagonist) diluted with 10 cc normal saline, while for group S 10 cc of normal saline was used alone. The study showed a lower post operation pain score in group M in the 2 first hours after operation. Besides, analgesic consumption in the 1st and 2nd hours after the operation was significantly lower in group M, but it was not significant in the 3rd and 6th hours post surgery. Total analgesic consumption was lower in group M, while laryngospasm were not significantly different in the two groups and bleeding score was significantly higher in the first hour after operation. Topical magnesium sulfate in tonsillar fossa decreased post tonsillectomy pain in children.

Keyword : Adenotonsillectomy; Post tonsillectomy pain; Magnesium sulfate; NMDA antagonists


Abstract in Chinese

 
 

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