Intraoperative Use of Analgesics in Tonsillar Fossa and Postoperative Evaluation with Visual analogue Scale Scores—A Prospective, Randomized, Placebo-Controlled, Double-Blind Clinical Trial
| Autor: | Sadaf Qadeer, Muhammad Sohail Halim, Maisam Abbas Shiraz Onali, Montasir Junaid, Naeem Sultan Ali, Hareem Usman Khan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Lidocaine
Visual analogue scale medicine.medical_treatment lcsh:Medicine Placebo 03 medical and health sciences 0302 clinical medicine Swallowing medicine pain 030223 otorhinolaryngology Saline tonsillectomy Original Research Bupivacaine business.industry lcsh:R analgesia lcsh:Otorhinolaryngology lcsh:RF1-547 Tonsillectomy Otorhinolaryngology 030220 oncology & carcinogenesis Anesthesia Tonsillar fossa business medicine.drug |
| Zdroj: | International Archives of Otorhinolaryngology International Archives of Otorhinolaryngology v.24 n.1 2020 Fundação Otorrinolaringologia (FORL) instacron:FORL International Archives of Otorhinolaryngology, Vol 24, Iss 01, Pp e62-e67 (2020) International Archives of Otorhinolaryngology, Volume: 24, Issue: 1, Pages: e62-e67, Published: 14 FEB 2020 |
| ISSN: | 1809-4864 1809-9777 |
| Popis: | Introduction Posttonsillectomy pain results in significant morbidity to the patients. There is a disagreement in the literature regarding the use of local anesthetics during tonsillectomy. The aim of this placebo-controlled, double-blind study is to evaluate the effect of peritonsillar administration of local anesthetics. Objective To evaluate the role of intraoperative use of analgesics in tonsillar fossa and postoperative evaluation with visual analogue scale (VAS) scores in achieving pain relief after tonsillectomy procedure Methods In this study, 180 patients were randomized to 1 of the 6 groups: bupivacaine infiltration, lidocaine infiltration, normal saline infiltration, bupivacaine packing, lidocaine packing, and normal saline packing. Pain caused by speaking, swallowing, and on rest was assessed using VAS at 4, 8, 12, 16 hours, and at discharge. Results Significant analgesia was obtained in patients who received bupivacaine infiltration and packing compared with placebo (p Conclusion We advocate the use of bupivacaine infiltration or packing immediately following the procedure to achieve adequate postoperative analgesia. |
| Databáze: | OpenAIRE |
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