1887
Volume 2002, Issue 2
  • ISSN: 0253-8253
  • E-ISSN: 2227-0426

Abstract

To compare the efficacy of either preoperative or postoperative peritonsillar infiltration of local anesthetic upon posttonsillectomy pain, 70patients aged 15/40 years scheduled for elective tonsillectomy under general anesthesia were divided into three groups. Six patients were excluded for failure to complete the postoperative data, two patients had post-operative bleeding and two patients developed otitis media on the second day postoperatively.

Twenty patients received peritonsillar infiltration with 0.25% bupivacaine, twenty received 0.9% saline and a third group of twenty had peritonsillar infiltration with 0.25% bupivacaine after completion of surgery but before being awakened from anesthesia. Significant changes occurred with bupivacaine infiltration in reducing pain during the first 24 hours after surgery.

It is concluded that preoperative and postoperative blocking of nociceptive impulses reduces postoperative pain but causes no reduction in the intake of analgesics. It is further suggested that the timing of peritonsillar infiltration with bupivacaine is not of clinical importance and does not affect the quality of postoperative analgesia in a patient undergoing tonsillectomy.

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2002-11-01
2019-10-14
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References

  1. 1. Paradise   JL. . Tonsillectomy and adenoidectomy. . In: Bluestone   CD., Stool   S. , eds. Pediatric Otolaryngology . 2 . Philadelphia, Pa: : WB Sounders Co;   1983; ; : 992– 1006 .
    [Google Scholar]
  2. 2. Nordbladh   I., , Ohlander   B., , Bjorkman   R. . Analgesia in tonsillectomy: adouble blind study on pre and postoperative treatment with diclofenac. . Clin Otolaryngol.   1991; ;16: : 554– 558 .
    [Google Scholar]
  3. 3. Steven   M. . Effect of peritonsillar infiltration. . Laryngoscope . 1990; ;100: : 433– 434 .
    [Google Scholar]
  4. 4. Valigan   A. . Pain relief after tonsillectomy. . Anesthesia . 1989; ;44: : 990– 991 .
    [Google Scholar]
  5. 5. Jebeles   JA. . Tonsillectomy and adenoidectomy pain reduction by local bupivacaine infiltration in children Intl. . J. Ped Otorhinolaryngol . 1993; ;35: : 100– 149 .
    [Google Scholar]
  6. 6. Jebeles   JA. , et al. , The effect of preincisional infiltration of tonsils with bupivacaine on the pain following tonsillectomy under general anesthesia. . Pain.   1991; ;47: : 305– 307 .
    [Google Scholar]
  7. 7. Molliex   S. , et al. , Effect of pre-Vs postoperative tonsillar infiltration with local anaesthetics on postoperative pain after tonsillectomy. . Acta anaesthesiol scand . 1996 Nov; ;40: 10 : 1210– 1215 .
    [Google Scholar]
  8. 8. Goldsher   M., , Podoshin   L., , Fradis   M. , et al. , Effect of peritonsillar infiltration on posttonsillectomy pain. . Ann Otal Rhinol Laryngol . 1996:Nov.; ;105: 11 : 868– 870 .
    [Google Scholar]
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  • Article Type: Research Article
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