Control of Early Postoperative Pain With Bupivacaine in Adult Local Tonsillectomy

Schoem, Scott R.; Watkins, G. L.; Kuhn, Jeffery J.; Alburger, J. F.; Kim, K. Z.; Thompson, Daniel H.

doi:10.1001/archotol.1993.01880150040007

Cited by 54 publications

(44 citation statements)

References 4 publications

(2 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The role of local anaesthetic infiltration in the reduction of post-tonsillectomy pain is still controversial. Several studies showed that infiltration of bupivacaine can reduce postoperative pain for up to 10 days [2,3], but other studies did not confirm these results [4,5].…”

mentioning

confidence: 99%

Peritonsillar infiltration with bupivacaine and pethidine for relief of post‐tonsillectomy pain: a randomised double‐blind study

et al. 2007

View full text Add to dashboard Cite

SummaryPrevious studies of infiltration of local anaesthetics in children undergoing tonsillectomy resulted in conflicting results. The aim of this study was to evaluate the effect of the peritonsillar injection of bupivacaine and pethidine on postoperative pain in children undergoing snare-dissection tonsillectomy. In a double-blind study, 80 children (aged 7-15 years) were randomly divided into two groups receiving peritonsillar injection of either bupivacaine (1 mg.kg ) in adrenaline 1 : 200 000 (treatment group) or an equivalent volume of saline (placebo group) pre-operatively. The time needed for first demand of analgesia and analgesic consumption to reduce the visual analogue scale (VAS) for resting throat pain to £ 30, the VAS for pain on swallowing, drinking liquid and eating a soft diet, incidence of nausea and vomiting, and the need for rescue anti-emetics in the first 24 h after operation were compared in both groups. The combination of bupivacaine and pethidine could significantly decrease the consumption of analgesics for resting pain at 4,6,8,12, and 24 h after operation but did not reduce pain on swallowing, drinking liquid and eating a soft diet. The times to demand of first dose of analgesic and to first oral intake were not significantly different. The overall satisfaction of patients in relation to relief of postoperative pain was not significantly different between the two groups. Although peritonsillar injection of pethidine and bupivacaine in children reduces the analgesic consumption, it does not affect the dynamic pain state in the first 24 h after snare-dissection tonsillectomy.

show abstract

mentioning

confidence: 99%

Peritonsillar infiltration with bupivacaine and pethidine for relief of post‐tonsillectomy pain: a randomised double‐blind study

et al. 2007

View full text Add to dashboard Cite

show abstract

“…This may be because of the few numbers of patients (36 people) while we studied 96 patients and the pain difference was significant (17). In other studies such as those conducted by Nordhal et al, (18), schoem et al, (19) and strub et al, (20), no positive result was found on using bupivacaine to reduce pain. This may be also because of studying a small sample and we in present study by increasing the number of patients, the effectiveness of the drug in pain relief was obvious.…”

Section: Discussionmentioning

confidence: 73%

“…Some studies in some countries have reported the significant effect of this drug on relieving post-tonsillectomy pain (13)(14)(15)(16). Some others though do not consider it as an effective way to prevent from pain (17)(18)(19)(20). The way and time of bupivacaine prescription and its complications and dangers comparing with other methods of producing analgesia is still a subject of considerable debate.…”

Section: Introductionmentioning

confidence: 99%

The role of local injection of Bupivacaine in the management of pain after tonsillectomy surgery

Javaherforooshzadeh¹,

Derakhshandeh

Atigh³

2016

IJB

View full text Add to dashboard Cite

Pain relief after tonsillectomy is an important part of post-operative management. There are some common drugs and local anesthetics such as bupivacaine used to treat postoperative pain. This research was aimed to assess the role of local injection of bupivacaine in the management of pain after tonsilectomy surgery 96patients aged 5–12 were included in a double-blind clinical trial prospective study. Patients in treatment group received an injection 3cc of 0.5% bupivacaine solution in side and upper peritonsillar areas, and patients in group B were injected 3cc of normal saline in the same area. Patients were asked to Visual Analog Score, After tracheal extubation, 1st, 2th, 4th, 8th,12th, and 24th hours after operation. The first request for analgesic and the total amount of analgesic consumption was also recorded. Regarding to Visual Analog Score over a 24-h period, there was a significant difference between two groups (p<0.05). Also demand for analgesic in 24 hours after surgery was significantly less in treatment group than in placebo (p<0.001). preoperative local 0.5% bupivacaine injection in tonsillectomy patients was effective relieves the post-tonsillectomy pain and significantly reduces opioid consumption in kids.

show abstract

“…In a study of paediatric patients, local anaesthesia infiltration was administered to the peritonsillar area, but it remained limited. In another study of 6-18-year-old patients undergoing tonsillectomy, bupivacaine infiltration was reported to reduce post-operative pain by a significant amount [21,22].…”

Section: Discussionmentioning

confidence: 99%

The effect of local anaesthetic on post-operative pain with wound instillation via a catheter for paediatric orthopaedic extremity surgery

Bulut

Yılmazlar

Yavaşçaoğlu

et al. 2011

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

Purpose We aimed to investigate the effects on postoperative pain of local anaesthetic administration via a catheter placed into the operation site in patients who were undergoing upper and lower extremity paediatric orthopaedic surgery. Methods In this randomised, double-blind and placebo study, 40 ASA I-II patients aged between 1 and 12 years were randomly allocated into two groups: study group (Group S: 0.2 ml/kg, 0.5% bupivacaine, n = 20) and control group (Group C: 0.2 ml/kg, serum physiologic, n = 20). Before the fascia was closed by the surgical team, the solution previously prepared by the chief nurse was injected into the subfascial soft tissue with the syringe as the ''injected dose'' of serum physiologic or bupivacaine. After the closure, 0.2 ml/kg (1 mg/kg) bupivacaine or saline was instillated as the ''first instillated dose'' into the surgical area via the catheter. Pain scores were recorded at 0, 1, 2, 4, 8, 12, 24 and 48 h post-operatively. Patients were administered 0.75 mg/kg meperidine intramuscularly postoperatively to equalise the pain scores.

show abstract

Control of Early Postoperative Pain With Bupivacaine in Adult Local Tonsillectomy

Cited by 54 publications

References 4 publications

Peritonsillar infiltration with bupivacaine and pethidine for relief of post‐tonsillectomy pain: a randomised double‐blind study

Peritonsillar infiltration with bupivacaine and pethidine for relief of post‐tonsillectomy pain: a randomised double‐blind study

The role of local injection of Bupivacaine in the management of pain after tonsillectomy surgery

The effect of local anaesthetic on post-operative pain with wound instillation via a catheter for paediatric orthopaedic extremity surgery

Contact Info

Product

Resources

About