Efficacy of topical 0.5% bupivacaine in pain reduction in pediatric tonsillectomy patients

Post-tonsillectomy pain control

  • Sabih Nadeem Qamar Department of Otolaryngology Head & Neck Surgery, University Hospital Monklands, Airdrie, Scotland, UK.
  • Zia us salam qazi Assistant Professor, Department of ENT, Head and Neck Surgery Federal Postgraduate Institute Shaikh Zayed Hospital, Lahore.
  • Sarfraz Latif Associate Professor, Department of ENT, Head and Neck Surgery, Federal Postgraduate Institute Shaikh Zayed Hospital Lahore.
  • Sadia Maqsood Awan Assistant Professor Department of Pharmacology Federal Postgraduate Medical Institute, Shaikh Zayed Hospital, Lahore.
  • Saulat Sarfraz Associate Professor Department of Radiology, Federal Postgraduate Medical Institute, Shaikh Zayed Hospital, Lahore.
  • Riffat Saeed Assistant Professor, Department of Anaesthesia, Federal Postgraduate Medical Institute, Shaikh Zayed Hospital, Lahore.
DOI: https://doi.org/10.37723/jumdc.v13i1.661
Keywords: Palatine tonsil, Tonsillectomy, Postoperative pain, Bupivacaine

Abstract

BACKGROUND & OBJECTIVE: Palatine tonsils are lymphoid organs in the oropharynx part of the waldeyer's ring and serve as host defence organs with maximum immunological activity from 3-10 years. Tonsillectomy is associated with considerable postoperative pain and requires significant consumption of analgesia. This study aimed to determine effect of topically suffused 0.5% bupivacaine on postoperative tonsillectomy pain.

RESULTS One hundred & twenty (120) patients with 61 males and 60-patients in each group with age range of 5-15 years (Group-A=8.63±2.63 and Group-B=8.32±6.60 in). Mean BMI of Group-A and group-B was 15.18±1.60 and 14.96±1.34 respectively (p=0.417). Mean pain score in group-A and group-B was 2.63±0.938 and 6.07±0.800 respectively (p<0.001).

CONCLUSION: nsillectomies performed using bupivacaine-soaked packs postoperatively are associated with lower postoperative pain compared with those packed with normal saline.

Published
2022-03-02
How to Cite
Sabih Nadeem Qamar, Zia us salam qazi, Sarfraz Latif, Sadia Maqsood Awan, Saulat Sarfraz, & Riffat Saeed. (2022). Efficacy of topical 0.5% bupivacaine in pain reduction in pediatric tonsillectomy patients. Journal of University Medical & Dental College, 13(1), 329-333. https://doi.org/10.37723/jumdc.v13i1.661
Issue
Vol 13 No 1 (2022): January-March
Section
Original Article

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This work is licensed under a Creative Commons Attribution 4.0 International License.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.