EFFECT OF I.V. DEXAMETHASONE V/S INFILTRATION OF DEXAMETHASONE (IN PERITONSILLAR REGION) ON ORAL INTAKE AND PAIN AFTER TONSILLECTOMY
Dr. V. P. Singh, Dr. Nikunj Jain* and Dr. Ambesh Singh
ABSTRACT
Background: Tonsillectomy is one of the most commonly performed surgery, particularly in children, with careful patient selection, it is a safe and effective procedure, with minimal morbidity. Pain, oedema, nausea, vomiting and poor oral intake are the most common morbidities following tonsillectomy. The association between pain and post operative nausea vomiting is also proved.[1] Dexamethasone has anti inflammatory effect.[2] There are quite a few studies with contradictory results about the effectiveness of steroids for reduction of post tonsillectomy morbidities.[3,4,5,6,7,8] Methods: In our study we take a total of 100 patients diagnosed with chronic hypertrophy of tonsils and postoperative pain and oral intake were evaluated. Group 1: We have administered dexamethasone 0.15 mg/kg intravenously 5 mins before intubation. Group 2: We have infiltrated dexamethasone 0.5 mg /kg, maximum dose 12 mg in peritonsillar region 5 min prior to the onset of surgery but after induction of General anaesthesia. Results: We have compared 2 variables Postoperative pain, and oral intake. Only in Pre and Post tonsillectomized patients 10 subjects (20%) had pain in the postoperative period among group (1)as compared to 39 (78%) subjects in group (2). This difference was found to be statistically significant. 35 subjects (70%) was able to intake orally in the postoperative period among IV dexamethasone group(1) as compared to only 14 (28%) subjects in Peritonsilar dexamethasone group(2). This difference was found to be statistically significant. Conclusions: IV dexamethasone found to be effective method in reducing pain and improve oral intake in post tonsillectomy cases.
Keywords: Tonsillectomy, dexamethasone, oral intake, pain.
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