A comparison of effectiveness of oral acetaminophen and ibuprofen in post-operative pain management after tonsillectomy

  • Nadia Khurram CMH Malir Karachi.
  • Muhammad Ali Bhatti CMH Jhelum.
  • Muhammad Tahir CMH Malir, Karachi.
Keywords: Oral Ibuprofen, Oral Acetaminophen, Pediatric Tonsillectomy, Post Tonsillectomy Pain, Post Tonsillectomy Complications

Abstract

Objectives: To compare the effectiveness of oral acetaminophen and ibuprofen in post-operative pain management after tonsillectomy. Study Design: Randomized Control Trial. Settings: Department of ENT, PNS Shifa Hospital Karachi. Period: 6 months from 10-11-2016 to 09-05-2017. Material & Methods: Overall 80 cases (40 in both group) were assessed in this study. Patients randomly allocated in group-A and group-B. Group-A was given syrup acetaminophen (10-15mg/kg body weight PO 6 hourly) and group-B received syrup ibuprofen (4-10 mg/kg body weight PO 8 hourly). Results: Mean age was 6.53±2.16 years in group A and 6.68±2.39 years in group-B. We had 22 females (55.0%) in group-A and 23 females (57.5%) in group-B. Mean surgery time was 46.60±5.86 minutes in group-A while 46.60±6.14 minutes in group-B. Mean weight of patients was 20.83±5.20kg in group-A and 21.88±5.07kg in group-B. Mean pain score was significantly less in group-B in comparison to group-A at 6h, 12h, 18h and 24h. Stratification for age, gender, duration of operation and for weight was carried out. Conclusion: On the basis of this study, we conclude that ibuprofen is significantly better in pain relief after tonsillectomy as compared to acetaminophen.

Author Biographies

Nadia Khurram, CMH Malir Karachi.

MBBS, FCPS

ENT Specialist

Muhammad Ali Bhatti, CMH Jhelum.

MBBS, FCPS

ENT Specialist

Muhammad Tahir, CMH Malir, Karachi.

MBBS, FCPS

Assistant Professor ENT

KIMS

ENT Specialist,

Published
2020-09-10