LXXXII A Prolonged Local Anaesthetic in Control of Post-Tonsillectomy Pain

Davidson, Morris; Boles, Robert G.; Snyderman, Sanford C.

doi:10.1177/000348945206100407

Cited by 14 publications

(4 citation statements)

References 2 publications

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“…Trials were excluded either because of inappropriate methods of randomisation (19 trials) (Davidson 1952;Reed 1955;Pande 1970;Castanos 1971;Raj 1986;Broadman 1989;Violaris 1989;Boliston 1990;Revilla Borjas 1990;Jebeles 1991;Nigam 1991;Candan 1992;Jebeles 1993;Melchor 1994;Elhakim 1995;Masuda 1995;Wong 1995;Goldsher 1996;Strub 1996) because procedures in addition to tonsillectomy were carried out (13 trials) (Reed 1955;Riddington-Young1987;Broadman 1989;Jebeles 1991;Candan 1992;Jebeles 1993;Schoem 1993B;Melchor 1994;Stuart 1994;Elhakim 1995;Wong 1995;Goldsher 1996;Strub 1996) or because of inappropriate outcome measures (6 trials) (Pande 1970;Raj 1986;Bissonette 1990;Boliston 1990;Revilla Borjas 1990;Masuda 1995). One trial by Johansen (Johansen 1996) included only nine patients in the intervention group.…”

Section: Excluded Studiesmentioning

confidence: 99%

Perioperative local anaesthesia for reducing pain following tonsillectomy

Hollis

Burton

Millar³

1999

Cochrane Database of Systematic Reviews

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Section: Excluded Studiesmentioning

confidence: 99%

Perioperative local anaesthesia for reducing pain following tonsillectomy

Hollis

Burton

Millar³

1999

Cochrane Database of Systematic Reviews

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“…Local injections of steroid, local anaesthetic and antibiotic preparations showed mixed response with Penn (1952) and Allen (1953) reporting good pain control and Davison et al, (1952) Reed and Montgomery (1955) and Anderson et al, (1975) reporting that local injections had no significant effect. A recent report by Weighill et al, (1986) showed that sewing the faucial pillars together did not significantly reduce post-tonsillectomy pain.…”

Section: Introductionmentioning

confidence: 97%

Can post-tonsillectomy pain be reduced by topical bupivacaine? Double blind controlled trial

Violaris¹,

Tuffin²

1989

J. Laryngol. Otol.

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A double blind controlled prospective trial investigated the analgesic effect of topical Bupivacaine in 15 adult patients undergoing bilateral tonsillectomy. Each patient had one tonsillar fossa exposed to Bupivacaine 0.5 per cent solution and the other to normal saline. When visited four to six hours post-operatively, 12 out of 15 patients (80 per cent) stated that the Bupivacaine exposed side to be more uncomfortable than the saline exposed side. On the first post-operative mornning 9 out of 15 patients (60 per cent) confirmed the same. The remaining patients were unable to detect a significant difference and no patient found the Bupivacaine side to be more comfortable.These results suggest that topical Bupivacaine 0.5 per cent solution has no place in providing post-operative analgesia in adult tonsillectomy.

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“…The use of local injections of steroid, local anaesthetic and antibiotic preparations has been extensively reported; Penn (1952) and Allen (1953) reported good pain control, but Davison (1952) and Reed and Montgomery (1955) and more recently Anderson et al (1975) did not feel that local injection had any significant effect, and may have contributed to increased haemorrhage rates. McKenna (1972) felt that local injection of steroid/antibiotic mixture was no more effective than intramuscular injection.…”

Section: Introductionmentioning

confidence: 99%