EFFECT OF PREOPERATIVE STEROIDS ON PERIOPERATIVE AND POSTOPERATIVE HAEMORRHAGE IN PATIENTS UNRERGOING FESS AT SKMCH, MUZAFFARPUR, BIHAR-Reference-Cited by-同舟云学术

EFFECT OF PREOPERATIVE STEROIDS ON PERIOPERATIVE AND POSTOPERATIVE HAEMORRHAGE IN PATIENTS UNRERGOING FESS AT SKMCH, MUZAFFARPUR, BIHAR

Published:2021-05-01 Issue: Volume: Page:40-41
ISSN:
Container-title:INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH
language:en
Short-container-title:ijsr

Author:

Rani Khushbu¹,Raman Mrinalini²,Kumar Lal Pawan³,Jana Debarshi⁴

Affiliation:

1. M.B.B.S., M.S. (ENT), Senior Resident, Department of ENT and Head & Neck Surgery, Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar.

2. M.B.B.S., M.S. (ENT), Assistant Professor, Department of ENT and Head & Neck Surgery, Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar.

3. M.B.B.S., M.S. (ENT), Associate Professor and Head of Department, Department of ENT and Head & Neck Surgery, Sri Krishna Medical College & Hospital, Muzaffarpur, Bihar

4. Young Scientist (DST), Institute of Post-Graduate Medical Education and Research, A.J.C. Bose Road, Kolkata-700020, West Bengal, India.

Abstract

Objective: To compare the effect of preoperative oral steroids (prednisolone) on perioperative and postoperative hemorrhage in patients undergoing functional endoscopic sinus surgery for chronic sinusitis with those who do not receive steroids. Design:Randomized controlled trials. Place and duration of study:This study was conducted in ENT Department of Sri Krishna Medical College and Hospital (SKMCH), Muzaffarpur, Bihar from April 2020 to March 2021. Material and Methods: After getting informed consent total of 60 patients who fullled the inclusion criteria were selected and functional endoscopic sinus surgery was carried out. They were divided into two groups of 30 each by using random number tables. Group A received prednisolone in a dose of 01 mg/kg body weight for 01 week prior to surgery (last day of dose being the day prior to operative day) while group B (control group) did not receive any steroid. Results:There was a signicant difference in both perioperative and postoperative hemorrhage with better control rates in group A. Conclusion: Prednisolone given preoperatively signicantly reduces the morbidity that is perioperative and postoperative hemorrhage thus early recovery to normal life style in patients undergoing functional endoscopic sinus surgery for chronic sinusitis.

Publisher

World Wide Journals

Reference23 articles.

1. Annys E, Jorrisen M. Short term effects of antibiotics (Zinnat) after endoscopic sinus surgery. Acta Otorhinologol Belg 2000; 54:23-8.

2. Aouad MT, Siddik SS, Rizk LB, Zaytoun GM, Baraka AS. The effect of dexamethasone on postoperative vomiting after tonsillectomy. Anesth Analg 2001; 92: 636-40.

3. April MM, Callan ND, Nowak DM, Hausdorff MA. The effect of intravenous dexamethasone in pediatric adenotonsillectomy. Arch Otolaryngol Head Neck Surg 1996; 122:117-20.

4. Catlin FI, Grimes WJ. The effect of steroid therapy on recovery from tonsillectomy in children. Arch Otolaryngol Head Neck Surg 1991; 117: 649-52.

5. Dijkstra MN, Ebbens FA, Poublon RML, Fokkens WJ. Fluticasone proprionate aqueous nasal spray does not influence the recurrence rate of chronic rhinosinusitis and nasal polyps 1 year after functional endoscopic sinus surgery. Clin Exp Allergy 2004; 34:1395-400.