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Iranian Journal of Otorhinolaryngology، جلد ۳۴، شماره ۶، صفحات ۲۷۵-۲۸۰
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عنوان انگلیسی Intravenous Dexamethasone Reduces Pain in Middle Ear Surgery
چکیده انگلیسی مقاله Introduction:Few studies evaluated the treatment of postoperative pain in middle ear surgery.Materials and Methods:We conducted a randomized clinical trial to evaluate the efficacy of dexamethasone in the management of postoperative pain in middle ear surgery. Group G1 received an intravenous injection of 2 ml of physiological saline 30 minutes before the end of the procedure. Group G2 received a 2 ml intravenous solution containing 8 mg of dexamethasone, 30 minutes before the end of the procedure. Pain perception was measured by the Visual an alogscale (VAS) every 10min during the first hour and the nevery 6 hours during the 24 hours postoperatively. The delay of the first analgesic demand and the consumption of analgesics use during the first 24 hours postoperatively, were recorded.Results:VAS values were lower in G2at all measurement points during the first hour, as well as the first 24h postoperatively (Mann-Whitney test, P< 0.05).The delay of the analgesic request was (0 (0-60) for G1 versus 0 (0-80) for G2, P=0.04, Mann-Whitney test). Morphine was used in 44% of the patients in G1 against 19% for G2 (P = 0.031). There was a significant difference between G1 and G2 in terms of the total dose of morphine consumed (P= 0.028, Mann-Whitney test). Paracetamol demand was lower in group 2 at all points of assessment during the first 24 hours postoperatively.Conclusions:Intravenous dexamethasone is effective in decreasing pain and analgesic requirement, during the first 24 hours postoperatively, in patients undergoing middle ear surgery.
کلیدواژه‌های انگلیسی مقاله Analgesia, Dexamethasone, Middle Ear, Postoperative pain
نویسندگان مقاله | Imen Zouche
Department of Anesthesiologie, Habib Bourguiba University Hospital, 3000 Sfax /Tunisia. Faculty of Medicine of Sfax; University of Sfax.


| Feris Abdelmalek
Department of Anesthesiologie, Habib Bourguiba University Hospital, 3000 Sfax /Tunisia. Faculty of Medicine of Sfax; University of Sfax.


| Zied Triki
Department of Anesthesiologie, Habib Bourguiba University Hospital, 3000 Sfax /Tunisia. Faculty of Medicine of Sfax; University of Sfax.


| Salma Ketata
Department of Anesthesiologie, Habib Bourguiba University Hospital, 3000 Sfax /Tunisia. Faculty of Medicine of Sfax; University of Sfax.


| Moncef Sellami
Department of Otorhinolarygologie, Habib Bourguiba University Hospital, 3000 Sfax/Tunisia


| Abdelhamid Karoui
Department of Anesthesiologie, Habib Bourguiba University Hospital, 3000 Sfax /Tunisia. Faculty of Medicine of Sfax; University of Sfax.
نشانی اینترنتی https://ijorl.mums.ac.ir/article_21202.html
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