TY - JOUR TT - Tenoxicam Pain Effect After Tonsillectomy AU - Yazkan, Fatma Özlem AU - Ünsal Tuna, Elvan Evrim PY - 2017 DA - April DO - 10.22312/sdusbed.298350 JF - Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi PB - Süleyman Demirel University WT - DergiPark SN - 2146-247X SP - 9 EP - 15 VL - 8 IS - 1 KW - Anahtar Kelimeler: Tonsillektomi KW - Ağrı KW - tenoksikam N2 - Objective: Tonsillectomy is the mostperformed operation in the otorhinolaryngology clinics. Pain, bleeding,infection in the tonsillary region, otalgia, dysphagia, dysphonia and dysphasiaare the most observed compliacations in the postoperative period. There are severalmethods which were tested for postoperative pain management, one of these ispreemptive analgesia. In this study preemptive intravenous therapy withtenoxicam, a nonsteroid anti-inflammatory drug in oxicam group, is evaluated onposttonsillectomy patients to investigate its efficacy on postoperative pain.Material and Method: Patients withchronic tonsillitis and without systemiz disease who between the ages of 18 and50 are inckuded in this study. Control group (n=50) received only postoperativeoral ibuprofen therapy. Study group received both preemptive intavenoustenoxicam and postoperative oral ibuprofen therapies. Verbai Pain Scale(VPS:0-10) is used to evaluate pain intensity of the patients. In additionnausea, vomiting, bleeding, otalgia, mouth openning and swallowing withoutpain, sex, age and education status compared tho groups as the otherparameters.Results: There was no statisticallysignificant differance (P>0.05) between the two groups when the followingparameters compared; age and sex distribution, educational status,postoperative pain, vomiting and bleeding. Pain intensity of the patients inthe study group found lower than the control group when it’s compared by VPS(P<0.001) Conclusions: Postoperative pain, whichis observed in adult patients who underwent tonsillectomy is a quite intensesymptom. Inthis study tenoxicam is found to be a useful preemptive analgesicagent because of its efficacy on decreasing postoperative analgesia need inpatients significantly, simplicity of its use in practice and its effect onincreasing the comfort of patient in postoperative period. CR - 11- McQuay HJ. Pre-emptive Analgesia. Br J Anaesth 1992; 69:1-3. CR - 12-Merry AF, Webter CS, Holland RL, Middleton NG, Schug SA, James M,et al. Clinical tolerability of perioperative tenoxicam in 1001 patients a prospective controlled, double blind,multicentre study. Pain 2004;111:313-22 CR - 13-Rosenblum M, Weller RS, Conard PL, Falvey EA, Gross JB.. Ibuprofen provides longer lasting analgesia than fentanyl after laparoscopic surgery. Anaest Analg 1991;73:250-4. CR - 14-Kaya S. Tonsillektomi ve Adenoidektomi Komplikasyonları “Tonsil” Sefa Kaya, Bilimsel tıp yayınevi, 2005;246-78, Ankara. CR - 15-Ready LB, Oden R,Chadwick HS, Benedetti C, Rooke GA, Caplan R, et al. Development of an anesthesiology-based postoperative pain management service. Anesthesiology 1988;68:100-6. CR - 16-Annual scientific meeting of the American Society of Anesthesiologists. Atlanta, Georgia, October 21-25, 1995. Anesthesiology 1995;(3A Suppl):A1-1403. CR - 17-Rawal N, Postoperatif ağrı tedavisi. İn:erdine S, editör.Ağrı. 1. baskı. İstanbul: Nobel Tıp 2000.s. 124-41 CR - 18-Woolf CJ, Chong MS. Preemptive analgesia-treating postoperative pain by preventing the establishment of central sensitisation. Anest Analg,1993;77:362-79. CR - 19-Dolin SJ, Cashman JN, Bland JM. Effectiveness of acute postoperative pain management:I.Evidence from published data.Br J Anaest 2002;89:409-23. CR - 20-Audit Commision. Anaesthesa under examination. London:AC;1997. UR - https://doi.org/10.22312/sdusbed.298350 L1 - https://dergipark.org.tr/en/download/article-file/393635 ER -