Comparsion of atracurium and succinylcholine on post adenotonsillectomy pain in children of 3-12 years old

ABSTRACT

Adenotonsillectomy is a common operation in children, which may have numerous complications after ansethesia. Postoperative pain is a serious complication that cause instability, rebleeding and other problems. Since the anesthesia method may affect the postoperative complications, the aim of this study was to compare the effects of atracurium and succinylcholine on post adenotonsillectomy pain in children. This clinical trial study was performed on eighty children of 3-12 years old who were candidate for adenotonsillectoy surgery. These children were subjected to two methods of general anesthesia. For muscle relaxation, atracurium was given to one group and succinylcholine to the other group. Using Oucher's test the severity of post operative pain was measured. Means of post operative pain [p<0.05] and heart rate [p<0.01] in succinyl group were more than those of atracurium group. However, rebleeding, hemmorage and vomiting after anesthesia were not significantly different between the two groups. Our results showed that the patients who were given atracurium had deeper anesthesia, less pain and were more comfortable than the other group