Abstract
To determine the effectiveness of postoperative local infiltration of Bupivacaine in decreasing post tonsillectomy pain. A double blind randomized clinical trail was conducted. Treatment group was administered 3-10 ml 0.5% Bupivacaine + 1/200000 Epinephrine solution and control group was received 3-10 ml normal saline, locally. Outcome was post surgical pain, which measured by visual analogue scale (VAS), after 6, 12, 18 hours post surgical. The mean scores of pain after surgery were lower grade in treatment group than placebo group. Post tonsillectomy pain suffered patients and required to reduce; hence pharmacotherapy seems necessary for it. Current finding was shown local 0.5% Bupivacaine + 1/200000 Epinephrine injection is good for pain relief.
Highlights
INTRODUCTIONFosse of children with pupivacaine and reported a marked reduction in pain after tonsillectomy even
The site of injection was lateral base of uvula, postrosuperior and inferior of tonsilar fossa, middle third of saline. They reported that the side treated with normal saline fared better, with less pain, than the side coated with 0.5% bupivacaine[8]
According to (VAS) results, in study group, the severity of pain was less than control group and the group of patients infected with 0.5% bupivacaine + 1/200000 epinephrine fared better and had less pain than saline group after oral liquid intake (Fig. 1 and 2)
Summary
Fosse of children with pupivacaine and reported a marked reduction in pain after tonsillectomy even. Show on performed surgical procedures and is often associated advantage of bupivacaine injection over saline beyond with significant postoperative pain[1]. The immediate post operative period[9,10]. The purpose of this investigation was to determine associated pain tonsillectomy. Some studies have the effectiveness of post operative local 0.5%. Shown pain severity is independent of surgical bupivacaine + 1/200000 epinephrine infiltration in post technique. In adult’s postoperative pain, seems to be – tonsillectomy pain reduction. More than children[2,3]. Sometimes requiring readmission for intravenous hydration therapy
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