Effect of Oral Melatonin on Postoperative Analgesia After Thoracotomy in Infants

The analgesic effect of melatonin may be referred to as Gi-coupled melatonin receptors, to Gi-coupled opioid-l-receptors or gamma-aminobutyric acid (GABA) receptors with a consequential reduction in anxiety and pain. (5) Gitto and co-workers(6) hypothesized that melatonin may have beneficial effects as an analgesic effect in preterm newborns that are subject to painful procedures, such as endotracheal intubation and mechanical ventilation without detected side effects. Pro-inflammatory and anti-inflammatory cytokines related to pain were more in the common sedation and analgesia group than in melatonin-treated infants suggesting the use of melatonin as an adjunct analgesic therapy during procedural pain. (6) Therefore Melatonin may be a useful perioperative drug as it does not have any known undesirable serious adverse effects. (7)

To the best of investigators' knowledge, this is the first study investigating the effect of melatonin on postoperative pain scores after thoracotomy in infants.

Inclusion criteria

• American Society of Anesthesiology( ASA) I, II
• less than 18months.
• males and females.
• scheduled for thoracotomy for closed cardiac surgery.

Exclusion criteria

• airway abnormalities.
• heart failure.
• endocrine disorders.
• Patients with hypersensitivity to any drug.
• beta blockers, any analgesics recieved within 24 h before surgery, or any psychotropic drugs.
• hepatic, renal diseases neuromuscular disease,
• coagulopathy.
• a history of hyperthermia.
• infection at the site of the block.