INTRODUCTIONPain is an unpleasant sensory and emotional experience dut to tissue damage. Post-operative pain relief is an important and inevitable part of anaesthesia. In past postoperative pain relief was neglected in paediatric patients because of misconceptions as children don't feel much pain and don't remember as adults.It is proven that significant psychological trauma and sufferings with fear and apprehension can occur in children due to surgical pain. Painful and distressed recovery would cause a great impact on child psyche and delay the early discharge.As tonsillectomy is most commonly carried out in children it is many a time first surgical exposure for otherwise healthy child. Pain relief post-tonsillectomy in children remains a dilemma for anaesthetists. Rapid ABSTRACT Background: Tonsillectomy surgery is most commonly carried out in paediatric age group. Pain relief after tonsillectomy in children remains a dilemma for anaesthesia. Rapid recovery from anaesthesia and return of protective relflexes are desirable earliest. There are conventional methods for pain relief post-tonsillectomy but use of local anaesthetic agents provide pain relief without any adverse effect. Hence we carried out our study in 4-12 years of age group and compare efficacy of pre-operative and post-operative 10% lignocaine aerosol for post-tonsillectomy pain relief. Methods: After institutional approval and informed consent 75 ASA I AND II children in 4-12 years of age group undergoing tonsillectomy were taken. In group A children did not receive any local anaesthetic whereas in group B children received 10% lignocaine aerosol pre-operative 3 minutes prior tonsillectomy and group C children received post-tonsillectomy aerosol in tonsillar fossa raw area. Anaesthetic management was standardized. Post-operative pain assessment done via behavioural scale. Results: The mean age, weight and duration of surgeries were not significantly different when compared in all three groups. In both study group B and C duration of analgesia is comparable in postoperative period. In both group no analgesia required upto 3 hours after surgery. In group C recovery was delayed compared to group B. Conclusions: The use of 10% lignocaine aerosol is easy, safe and effective method for post-tonsillectomy pain relief in paediatrics.
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