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Administration of paracetamol versus dipyrone by intravenous patient-controlled analgesia for postoperative pain relief in children after tonsillectomy

Overview of attention for article published in Brazilian Journal of Anesthesiology, October 2013
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Title
Administration of paracetamol versus dipyrone by intravenous patient-controlled analgesia for postoperative pain relief in children after tonsillectomy
Published in
Brazilian Journal of Anesthesiology, October 2013
DOI 10.1016/j.bjane.2013.09.010
Pubmed ID
Authors

Mesut Sener, Aysu Kocum, Esra Caliskan, Ismail Yilmaz, Fatma Caylakli, Anis Aribogan

Abstract

We compared the efficacy of intravenous (IV) paracetamol versus dipyrone via patient-controlled analgesia (PCA) for postoperative pain relief in children. The study was composed of 120 children who had undergone elective tonsillectomy after receiving general anesthesia. Patients were divided into 3 groups according to the dosage of postoperative intravenous-patient-controlled analgesia: paracetamol, dipyrone, or placebo. Pain was evaluated using a 0- to 100-mm visual analog scale and 1- to 4-pain relief score at 30min, 1, 2, 4, 6, 12, and 24h postoperatively. Pethidine (0.25mgkg(-1)) was administered intravenously to patients requiring rescue analgesia. Pethidine requirements were recorded during the first 24h postoperatively, and treatment related adverse effects were noted. Postoperative visual analog scale scores were significantly lower with paracetamol group compared with placebo group at 6h (p<0.05), dipyrone group compared with placebo group at 30min and 6h (p<0.05). No significant differences regarding visual analog scale values at 1, 2, 4, 12, and 24h were found. No significant differences were found between groups with respect to pain relief score (p>0.05). Postoperative pethidine requirements were significantly lower with paracetamol and dipyrone groups compared with placebo group (62.5%, 68.4% vs 90%, p<0.05). No significant differences were found between groups with respect to nausea, vomiting and the any other adverse effects of the drugs (p>0.05). Paracetamol and dipyrone have well tolerability profile and effective analgesic properties when administered IV-PCA for postoperative analgesia in children after tonsillectomy.

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The data shown below were compiled from readership statistics for 71 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Canada 1 1%
Unknown 70 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 11 15%
Other 7 10%
Student > Ph. D. Student 7 10%
Student > Doctoral Student 6 8%
Student > Bachelor 5 7%
Other 16 23%
Unknown 19 27%
Readers by discipline Count As %
Medicine and Dentistry 32 45%
Pharmacology, Toxicology and Pharmaceutical Science 6 8%
Nursing and Health Professions 5 7%
Agricultural and Biological Sciences 4 6%
Biochemistry, Genetics and Molecular Biology 1 1%
Other 2 3%
Unknown 21 30%