Korean J Otolaryngol-Head Neck Surg.  1997 Oct;40(10):1455-1461.

The Effects of Premedication on Postoperative Pain in Nasal Surgery

• Suh KS
• Lee JG
• Kim JW
• Lee YW
• Lee JH
• Choi JY

Abstract

BACKGROUND: In spite of frequent nasal surgery, the importance of preoperative medication has not been examined carefully(CAREFULLY).
OBJECTIVE
To identify the effect of premedication, we investigated the effect of premedication on postoperative pain in nasal surgery under local anesthesia. MATERIALS AND METHOD: We studied 120 cases, composed of 60 cases of unilateral sinus surgery and 60 cases of septoplasty. The patients were divided into four groups. We analysed 4 groups each consisted of 30 patients(N=120). The first group consisted of patients who received atropine preoperatively. The second group received atropine and ketolorac tromethamine. The third group received atopine and diazepam. The fourth group received atropine, ketorolac trimethamine and atropine. To evaluate the postoperative pain, we made the protocol listed according to Verbal Rating Pain Scores(VRP), Visual Analogue Pain Scores(VAS), -2, 4, 6, 12, 24 and 48 hours- and a global postoperative pain using the VAS.
RESULTS
In septoplasty group, pain-relief effects showed postoperative pain of ketorolac tromethamine during postoperative 6-hours in the second & fourth groups. In sinus surgery group, Ketorolac tromethamine was effective on postoperative pain at postoperative 2-hour.
CONCLUSION
We concluded that preoperative ketorolac tromethamine was effctive on septoplasty group than sinus surgery group.

Keyword

Ketorolac tromethamine; Postoperative pain

MeSH Terms

Anesthesia, Local
Atropine
Diazepam
Humans
Ketorolac
Ketorolac Tromethamine
Nasal Surgical Procedures*
Pain, Postoperative*
Premedication*
Tromethamine
Atropine
Diazepam
Ketorolac
Ketorolac Tromethamine
Tromethamine