Pre-versus postoperative tramadol instillation: both are effective for decreasing pain and/or agitation in pediatric adenotonsillectomy

Abstract

rocuronium bromide. To maintain the anesthesia, 2%–2.5% sevoflurane in an oxygen-N 2 O mixture (FiO 2 = 35%) was administered. In Group I (n = 30), 1 mg kg −1 tramadol was given 10 min before adenoidectomy, and in Group II (n = 30) it was administered 10 min after adenoidectomy was achieved on the adenoid tissue. Saline, at the same volume, was injected as a control in Group III (n = 30). Patients were evaluated for postoperative pain, agitation score, and modified Aldrete score (MAS) in recovery. Results: When compared with the treatment groups, pain scores and analgesic requirements in the control group significantly increased (P < 0.001). Agitation scores were also significantly higher in the same group. Time-related MASs were significantly lower in the control group in the early recovery period. Conclusion: Preoperative or postoperative tramadol instillation administered to the adenoidectomy area significantly decreased postoperative analgesic requirements and agitation.