Original Articles
A Prospective Randomized Double-Blinded Study to Evaluate the Effect of Intraoperative Bupivacaine Use on Post-Tonsillectomy Analgesia | |
Aftab Ahmed, Nadeem Raza, Satish Chandra Sharma | |
Introduction:Post-tonsillectomy pain is the major cause of morbidity after the tonsillectomy, and it also leads to increased chances of complications. The use of local anaesthetic agents for this pain control is debated in literature. The objective of the present study is to evaluate the effect of local anaesthetic bupivacaine on post-operative pain relief with visual analogue scale.Methods: In the present study, 60 patients were randomized to 1 of the 4 groups: bupivacaine infiltration, normal saline infiltration, bupivacaine packingand normal saline packing. Post-operative morbidity in terms of pain on rest, speaking and swallowingwas assessed using VAS at 4, 8 and 24 hours.Results:The post-tonsillectomy pain in the patients receiving bupivacaine infiltration and packing was significantly low as compared with placebo group (p<0.05). There were no post-operative complications in the majority of patients. The requirement of analgesics within the first 24 hours post-surgery was less in the patient’s receiving bupivacaine. Conclusion: We conclude that the use of bupivacaine infiltration or packing following tonsillectomy is effective in postoperative analgesia. |
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