Generic placeholder image

Reviews on Recent Clinical Trials

Editor-in-Chief

ISSN (Print): 1574-8871
ISSN (Online): 1876-1038

Clinical Trial

Comparing the Effects of Pregabalin and Clonidine on Postoperative Pain in Tonsillectomy: A Randomized, Double-blind, Prospective Clinical Trial

Author(s): Shahryar Sane, Rahman Abbasi Vash, Nazila Rahmani, Hadi Talebi, Parang Golabi, Farid Kalashipour, Poneh Heidari, Mohammad-Foad Hatami, Behzad Kazemi Haki* and Shabnam Morwati

Volume 17, Issue 3, 2022

Published on: 13 October, 2022

Page: [208 - 215] Pages: 8

DOI: 10.2174/1574887117666220922092953

Price: $65

Abstract

Background: Tonsillectomy is one of the most common surgical procedures. This study compared the effect of Pregabalin and Clonidine on postoperative pain in adult patients undergoing elective tonsillectomy.

Methods: This randomized, double-blind, prospective clinical trial was conducted among 92 patients aged 20 to 50. The clonidine group (C) was given 150 μg of clonidine tablet 90 minutes before surgery, and the pregabalin group (P) was given 300 mg of pregabalin tablet 90 minutes before surgery. The results were analyzed by SPSS 25, and statistical analysis consisted of chisquare, T-test, and χ2 tests, and a p-value less than 0.05 was considered significant.

Results: The mean pain score and analgesic consumption scores in the pregabalin group were lower than in the clonidine group. According to the t-test, there was a significant difference between the two groups regarding pain score and analgesic consumption (p <0.05). Hemodynamic variation in both groups had no significant differences (p >0.05).

Conclusion: The present study showed that pregabalin reduced postoperative pain and analgesic consumption more effectively than clonidine.

Keywords: Pregabalin, clonidine, postoperative pain, tonsillectomy, clinical trial, anesthetics.

Graphical Abstract
[1]
Sane S, Shokouhi S, Golabi P, Rezaeian M, Kazemi HB. The effect of dexmedetomidine in combination with bupivacaine on sensory and motor block time and pain score in supraclavicular block. Pain Res Manag 2021; 2021: 1-8.
[http://dx.doi.org/10.1155/2021/8858312] [PMID: 33927790]
[2]
Baugh RF, Archer SM, Mitchell RB, et al. Clinical practice guideline: Tonsillectomy in children. Otolaryngol Head Neck Surg 2011; 144 (Suppl. 1): S1-S30.
[http://dx.doi.org/10.1177/0194599810389949] [PMID: 21493257]
[3]
Lauder G, Emmott A. Confronting the challenges of effective pain management in children following tonsillectomy. Int J Pediatr Otorhinolaryngol 2014; 78(11): 1813-27.
[http://dx.doi.org/10.1016/j.ijporl.2014.08.011] [PMID: 25241379]
[4]
Vlok R, Melhuish TM, Chong C, Ryan T, White LD. Adjuncts to local anaesthetics in tonsillectomy: A systematic review and meta-analysis. J Anesth 2017; 31(4): 608-16.
[http://dx.doi.org/10.1007/s00540-017-2310-x] [PMID: 28120104]
[5]
Naja Z, Kanawati S, Al Khatib R, et al. The effect of IV dexamethasone versus local anesthetic infiltration technique in postoperative nausea and vomiting after tonsillectomy in children: A randomized double-blind clinical trial. Int J Pediatr Otorhinolaryngol 2017; 92: 21-6.
[http://dx.doi.org/10.1016/j.ijporl.2016.10.030] [PMID: 28012528]
[6]
Titirungruang C, Seresirikachorn K, Kasemsuwan P, Hirunwiwatkul P. The use of steroids to reduce complications after tonsillectomy: A systematic review and meta-analysis of randomized controlled studies. Eur Arch Otorhinolaryngol 2019; 276(2): 585-604.
[http://dx.doi.org/10.1007/s00405-018-5202-2] [PMID: 30448929]
[7]
Oghan F, Harputluoglu U, Guclu E, Kocaman B, Ozturk O. Does topical ropivacaine reduce the post-tonsillectomy morbidity in pediatric patients? Int J Pediatr Otorhinolaryngol 2008; 72(3): 361-5.
[http://dx.doi.org/10.1016/j.ijporl.2007.11.011] [PMID: 18179827]
[8]
Nikandish R, Maghsoodi B, Khademi S, Motazedian S, Kaboodkhani R. Peritonsillar infiltration with bupivacaine and pethidine for relief of post-tonsillectomy pain: A randomised double-blind study. Anaesthesia 2008; 63(1): 20-5.
[http://dx.doi.org/10.1111/j.1365-2044.2007.05283.x] [PMID: 18086066]
[9]
Amani S, Abedinzadeh MR. Effects of oral gabapentin, local bupivacaine and intravenous pethidine on post tonsillectomy pain. Iran J Otorhinolaryngol 2015; 27(82): 343-8.
[PMID: 26568937]
[10]
Pérez C, Margarit C, Gálvez R. A review of pregabalin for the treatment of peripheral and central neuropathic pain and its place in the treatment of chronic pain. Clin Med Rev Ther 2011; 11: 325-46.
[11]
Sane S, Aghdashi MM, Haki BK, Gholamveisi B, Rajabzadeh M, Golabi P. The effect of pregabalin on the prevention of succinylcholine-induced fasciculation and myalgia. J Perianesth Nurs 2020; 35(3): 255-9.
[http://dx.doi.org/10.1016/j.jopan.2019.11.005] [PMID: 31992495]
[12]
Sane S, Mahdkhah A, Golabi P, Hesami SA, Kazemi HB. Comparison the effect of bupivacaine plus magnesium sulfate with ropivacaine plus magnesium sulfate infiltration on postoperative pain in patients undergoing lumbar laminectomy with general anesthesia. Br J Neurosurg 2020; 1-4.
[http://dx.doi.org/10.1080/02688697.2020.1861430] [PMID: 33332200]
[13]
Tryba M, Gehling M. Clonidine - a potent analgesic adjuvant. Curr Opin Anaesthesiol 2002; 15(5): 511-7.
[http://dx.doi.org/10.1097/00001503-200210000-00007] [PMID: 17019247]
[14]
Jamadarkhana S, Gopal S. Clonidine in adults as a sedative agent in the intensive care unit. J Anaesthesiol Clin Pharmacol 2010; 26(4): 439-45.
[http://dx.doi.org/10.4103/0970-9185.74581] [PMID: 21547166]
[15]
Mathiesen O, Jørgensen DG, Hilsted KL, et al. Pregabalin and dexamethasone improves post-operative pain treatment after tonsillectomy. Acta Anaesthesiol Scand 2011; 55(3): 297-305.
[http://dx.doi.org/10.1111/j.1399-6576.2010.02389.x] [PMID: 21288210]
[16]
Bergendahl HTG, Lönnqvist PA, Eksborg S, et al. Clonidine vs. midazolam as premedication in children undergoing adeno-tonsillectomy: A prospective, randomized, controlled clinical trial. Acta Anaesthesiol Scand 2004; 48(10): 1292-300.
[http://dx.doi.org/10.1111/j.1399-6576.2004.00525.x] [PMID: 15504191]
[17]
Mathiesen O, Rasmussen ML, Dierking G, et al. Pregabalin and dexamethasone in combination with paracetamol for postoperative pain control after abdominal hysterectomy. A randomized clinical trial. Acta Anaesthesiol Scand 2009; 53(2): 227-35.
[http://dx.doi.org/10.1111/j.1399-6576.2008.01821.x] [PMID: 19076108]
[18]
Yeganeh MA, Fazel MR, Parviz S. Comparison of analgesic effect between gabapentin and diclofenac on post-operative pain in patients undergoing tonsillectomy. Arch Trauma Res 2012; 1(3): 108-11.
[http://dx.doi.org/10.5812/atr.7931] [PMID: 24396757]
[19]
World Medical Association. World medical association declaration of helsinki: Ethical principles for medical research involving human subjects. JAMA 2013; 310(20): 2191-4.
[http://dx.doi.org/10.1001/jama.2013.281053] [PMID: 24141714]
[20]
Park SS, Kim DH, Nam IC, Lee IH, Hwang JW. The effectiveness of pregabalin for post-tonsillectomy pain control: A randomized controlled trial. PLoS One 2015; 10(2): e0117161.
[http://dx.doi.org/10.1371/journal.pone.0117161] [PMID: 25706948]
[21]
Freeman KO, Connelly NR, Schwartz D, Jacobs BR, Schreibstein JM, Gibson C. Analgesia for paediatric tonsillectomy and adenoidectomy with intramuscular clonidine. Paediatr Anaesth 2002; 12(7): 617-20.
[http://dx.doi.org/10.1046/j.1460-9592.2002.00914.x] [PMID: 12358658]
[22]
Jeon E, Park YS, Park SS, Lee SK, Kim DH. The effectiveness of gabapentin on post-tonsillectomy pain control. Eur Arch Otorhinolaryngol 2009; 266(10): 1605-9.
[http://dx.doi.org/10.1007/s00405-008-0897-0] [PMID: 19099314]
[23]
Mikkelsen S, Hilsted KL, Andersen PJ, et al. The effect of gabapentin on post-operative pain following tonsillectomy in adults. Acta Anaesthesiol Scand 2006; 50(7): 809-15.
[http://dx.doi.org/10.1111/j.1399-6576.2006.01057.x] [PMID: 16879463]
[24]
Aldamluji N, Burgess A, Pogatzki-Zahn E, et al. PROSPECT guideline for tonsillectomy: Systematic review and procedure-specific postoperative pain management recommendations. Anaesthesia 2021; 76(7): 947-61.
[http://dx.doi.org/10.1111/anae.15299] [PMID: 33201518]
[25]
Kumar M, Sharma K, Gandhi R. Effect of single-dose dexmedetomidine on intraoperative hemodynamics and postoperative recovery during pediatric adenotonsillectomy. Anesth Essays Res 2019; 13(1): 63-7.
[http://dx.doi.org/10.4103/aer.AER_178_18] [PMID: 31031482]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy