Brazilian journal of otorhinolaryngology
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Braz J Otorhinolaryngol · May 2021
Randomized Controlled TrialThe efficacy of esmolol, remifentanil and nitroglycerin in controlled hypotension for functional endoscopic sinus surgery.
Controlled hypotension is a reversible procedure in which the patient's baseline mean arterial blood pressure is reduced by 30% and sustained at 60-70 mmHg during the procedure. It decreases blood loss and provides clear surgical field during the procedures. ⋯ Less volatile agent, short time to achieve controlled hypotension, stable blood pressure, lower surgical field bleeding scores and larger length of time with the targeted mean arterial pressure were found as the advantages of Remifentanil. Less costly, efficiency of achieving the targeted median arterial pressure and less postoperative complications were the advantages of nitroglycerin. In functional endoscopic sinus surgery procedures, appropriate controlled hypotensive agents should be selected according to the patients' characteristics and advantages/disadvantages of the drugs.
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Braz J Otorhinolaryngol · Jan 2013
Randomized Controlled TrialIntravenous paracetamol and dipyrone for postoperative analgesia after day-case tonsillectomy in children: a prospective, randomized, double blind, placebo controlled study.
Tonsillectomy is associated with severe postoperative pain for which, several drugs are employed for management. ⋯ Intravenous paracetamol is found to have a similar analgesic efficacy as intravenous dipyrone and they both help to reduce the opioid requirement for postoperative analgesia in pediatric day-case tonsillectomy.
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Braz J Otorhinolaryngol · Mar 2009
Randomized Controlled TrialTopical use of adrenaline in different concentrations for endoscopic sinus surgery.
The ideal adrenaline concentration remains unknown. ⋯ We favor the use of topical adrenalin 1:2,000 due to a clear superiority in hemostasis. Further investigation is needed to corroborate our findings.
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Braz J Otorhinolaryngol · May 2008
Randomized Controlled TrialAntibiotic use in post-adenotonsillectomy morbidity: a randomized prospective study.
Tonsillectomy with or without adenoidectomy still is one of the most commonly performed surgical procedures in the world, mostly in the pediatric population. ⋯ considering the results from our study and reviewing the literature on the use of antibiotic agents, we agree that there is no improvement in patient recovery after adenotonsillectomy with the use of amoxicillin for 7 days in the postoperative.
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Braz J Otorhinolaryngol · May 2007
Randomized Controlled Trial Comparative StudyA comparative study between ketorolac and ketoprofen in postoperative pain after uvulopalatopharyngoplasty.
Postoperative pain is a serious problem, requiring an appropriate response from the medical doctor. In otolaryngology special attention is needed after uvulopalatopharyngoplasty (UP3). ⋯ We concluded that ketorolac is more effective compared to ketoprofen in the treatment of immediate postoperative pain after UP3, as patients using ketorolac had less pain and used opioids to a lesser degree.