The Use of Dexamethasone to Reduce Pain After Tonsillectomy in Adults: A Double‐Blind Prospective Randomized Trial
- 1 February 2008
- journal article
- research article
- Published by Wiley in The Laryngoscope
- Vol. 118 (2), 232-236
- https://doi.org/10.1097/mlg.0b013e318159a5cc
Abstract
To determine the effectiveness of dexamethasone to reduce pain after tonsillectomy in adults by at least 13 mm on the visual analogue scale. The secondary objective was to reduce the use of narcotics by at least 20%. This multicentric study is a prospective double-blind randomized controlled trial. A total of 102 patients were enrolled and received a 4-day trial either of dexamethasone in decreasing doses or placebo. The patients were asked to note the level of pain on the visual analogue scale daily for 7 days. They also had to record their consumption of analgesic and any eventual side effects. There were no statistically or clinically significant differences between the two groups for the level of pain noted on the visual analogue scale for the first 4 and 7 days. There were no statistical differences for the consumption of hydromorphone between the two groups. We cannot recommend the use of dexamethasone on a routine basis following tonsillectomy in adults for the reduction of pain or narcotics consumption.Keywords
This publication has 8 references indexed in Scilit:
- Steroids for Post‐Tonsillectomy Pain Reduction: Meta‐Analysis of Randomized Controlled TrialsOtolaryngology -- Head and Neck Surgery, 2006
- Dexamethasone reduces pain after tonsillectomy in adultsClinical Otolaryngology, 2002
- Do Steroids Reduce Morbidity of Tonsillectomy? Meta‐Analysis of Randomized TrialsThe Laryngoscope, 2001
- A meta-analysis of dexamethasone use with tonsillectomyOtolaryngology -- Head and Neck Surgery, 2000
- Evaluating the Effects of Oral Prednisolone on Recovery After Tonsillectomy: A Prospective, Double-Blind, Randomized TrialThe Laryngoscope, 2000
- Comparative audit of tonsillectomy.Clinical Otolaryngology, 2000
- Clinical Significance of Reported Changes in Pain SeverityAnnals of Emergency Medicine, 1996
- Steroid therapy in tonsillectomyThe Laryngoscope, 1972