Efficacy of bupivacaine for post-tonsillectomy pain: a study with the intra-individual design

Does topical lidocaine with adrenaline have an effect on morbidity in pediatric tonsillectomy?

“…Jebeles et al [21] showed a notable reduction of pain after tonsillectomy in children aged 6-18 years when the tonsillar fossae were preoperatively infiltrated with bupivacaine. Also, in Somdas's study, post-operative local bupivacaine infiltration in tonsillectomy patients was found effective in children [22].…”

Can postoperative pains following tonsillectomy be relieved by honey?

“…Further, most practitioners combine acetaminophen with opiods and/or nonsteroidal anti-inflammatory drugs (NSAIDs). Else than these, some authors recommend perioperative parenteral steroids, long-lasting local anesthetic infiltration to the tonsillary fossa, local anesthetic sprays, fusafungine, fibrin glue, or sucralfate [4][5][6][7][8][9][10]. The common objective of all such recommended treatment protocols is to decrease pain and the amount of painkillers used without increasing serious complications such as postoperative bleeding.…”

Ropivacaine compared to bupivacaine for post-tonsillectomy pain relief in children: A randomized controlled study

“…Jebeles et al [1,2] demonstrated that bupivacaine with epinephrine infiltration decreased post-tonsillectomy pain for about 10 days [10] also reported a decrease in pain after tonsillectomy with bupivacaine infiltration. Somdas et al [11] also found that bupivacaine infiltration is effective when they used an individual paired study design. However, some investigators have been unable to confirm these results [9,[12][13][14].…”