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Analgesia for paediatric tonsillectomy and adenoidectomy with intramuscular clonidine[Note 1. Presented, in part, at the Annual Meeting of the ...]
Author(s) -
Freeman Katherine O.,
Connelly Neil Roy,
Schwartz Donald,
Jacobs Barry R.,
Schreibstein Jerry M.,
Gibson Charles
Publication year - 2002
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1046/j.1460-9592.2002.00914.x
Subject(s) - medicine , tonsillectomy , clonidine , adenoidectomy , anesthesia , analgesic , perioperative , fentanyl , acetaminophen , dexmedetomidine , saline , sedation
Summary Background : After undergoing tonsillectomy and adenoidectomy (T&A), children may experience significant pain. Clonidine, an α 2 agonist, exhibits significant analgesic properties. The current investigation sought to determine whether intramuscular (I.M.) clonidine would decrease pain in paediatric patients undergoing T&A. Methods : Thirty‐nine children undergoing elective T&A were studied. Following inhalational anaesthetic induction, fentanyl (2 μg·kg −1 ) was given intravenously, acetaminophen (paracetamol) (30 mg·kg −1 ) was given rectally and the children then randomly received an i.m. injection of either normal saline or clonidine (2μg·kg −1 ). Perioperative analgesic requirements in the postanaesthesia care unit and at home following hospital discharge were evaluated. Results : There were no significant demographic, analgesic consumption, haemodynamic or pain score differences between the groups. Conclusions : We do not recommend adding i.m. clonidine (2 μg·kg −1 ) to the analgesic regimen of children undergoing tonsillectomy and adenoidectomy.