Evaluation of the duration of postoperative pain control obtained with bupivacaine injection into the tonsillar region in children who underwent tonsillectomy

İhvan, Önder; Şeneldir, Lütfü; Enöz, Murat; Gökçeer, Tanju; Köksal, Sema

doi:10.5606/kbbihtisas.2011.040

Cited by 7 publications

(9 citation statements)

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“…Ivan et al found that bupivacaine caused significant pain relief at 2 and 6 hours after surgery compared to the control group, but no differences were shown at 24 hours after surgery (9). In our research, however, the pain difference between the two groups continued 24 hours after surgery.…”

Section: Discussioncontrasting

confidence: 69%

“…In this measure, the pain was measured using a visual analogue pain scale, where 0 represents no pain, and 10 represents unbearable pain. The amount of nausea and vomiting experienced by the patients was evaluated utilizing the post-operation nausea and vomiting scale; a PONV of 0 indicates no nausea or vomiting, 1 nausea but no vomiting, 2 vomited once in 30 minutes, and 3 as two or more episodes in 30 minutes (9). Patients were discharged in the afternoon if the surgery was performed in the morning, and patients were discharged the next day if the surgery was performed in the evening.…”

Section: Study Settings and Interventionsmentioning

confidence: 99%

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Effect of Local Injection of Bupivacaine for Pain Management After Tonsillectomy: A Randomized Clinical Trial

et al. 2021

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Background: Pain is one of the main side effects of tonsillectomy, especially in the pediatric population. Objectives: This study aimed to examine the effects of a local injection of bupivacaine on pain and postoperative nausea and vomiting after tonsillectomy. Methods: In this double-blind clinical trial, we enrolled 96 patients who were referred for elective tonsillectomy to the ear, nose, and throat (ENT) Clinic of Imam Khomeini Hospital in Ahvaz, Iran, from December 2016 to January 2018. The patients were selected by the simple random sampling method on a 1:1 ratio. To analyze the data, Student's t‐test or chi‐squared test were used. Results: Visual analog score measured in the recovery period at 0, 1, 2, 4, 8, 12, and 24 h after surgery was significantly lower in the Bupivacaine group than in the Placebo group (P < 0.001). Nausea was significantly different between the groups at all time, but for vomiting, significant differences between the groups were noted at 0, 1, 2, 4, and 8 h but not at 12 and 24 h after surgery. Conclusions: Preoperative local injection of 0.5% bupivacaine for tonsillectomy was effective in reducing postoperative pain, and it significantly reduces postoperative nausea and vomiting in children.

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Section: Discussioncontrasting

confidence: 69%

Section: Study Settings and Interventionsmentioning

confidence: 99%

Effect of Local Injection of Bupivacaine for Pain Management After Tonsillectomy: A Randomized Clinical Trial

et al. 2021

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“…Findings revealed that 0.5% bupivacaine could significantly lower patients' pain in different time after tonsillectomy comparing with the control group (p<0.05). In a similar study by Ihvan et al, bupivacaine was effective in controlling pain several hours after the operation, but 24 hours later, it was not as much effective (14). In our research though, the pain difference between two groups continued by 24 hours after the operation.…”

Section: Discussioncontrasting

confidence: 51%

“…As the preventive method of reducing postoperative pains by blocking the pain impulses and preventing from their entrance into the central nerve systems, bupivacaine infiltration produces analgesia(12). Some studies in some countries have reported the significant effect of this drug on relieving post-tonsillectomy pain (13)(14)(15)(16). Some others though do not consider it as an effective way to prevent from pain (17)(18)(19)(20).…”

Section: Introductionmentioning

confidence: 99%

The role of local injection of Bupivacaine in the management of pain after tonsillectomy surgery

Javaherforooshzadeh¹,

Derakhshandeh

Atigh³

2016

IJB

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Pain relief after tonsillectomy is an important part of post-operative management. There are some common drugs and local anesthetics such as bupivacaine used to treat postoperative pain. This research was aimed to assess the role of local injection of bupivacaine in the management of pain after tonsilectomy surgery 96patients aged 5–12 were included in a double-blind clinical trial prospective study. Patients in treatment group received an injection 3cc of 0.5% bupivacaine solution in side and upper peritonsillar areas, and patients in group B were injected 3cc of normal saline in the same area. Patients were asked to Visual Analog Score, After tracheal extubation, 1st, 2th, 4th, 8th,12th, and 24th hours after operation. The first request for analgesic and the total amount of analgesic consumption was also recorded. Regarding to Visual Analog Score over a 24-h period, there was a significant difference between two groups (p<0.05). Also demand for analgesic in 24 hours after surgery was significantly less in treatment group than in placebo (p<0.001). preoperative local 0.5% bupivacaine injection in tonsillectomy patients was effective relieves the post-tonsillectomy pain and significantly reduces opioid consumption in kids.

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“…Ihvan et al . in their study demonstrated that pre‐incisional bupivacaine infiltration significantly reduced postoperative pain scores at postoperative 2nd and 6th hours, but no difference was found between study and control groups at 24th h postoperative and first week.…”

Section: Discussionmentioning

confidence: 91%

Safety and efficacy of pre‐incisional peritonsillar lornoxicam in paediatric post‐tonsillectomy pain: a prospective double‐blind, placebo‐controlled, split‐body clinical study

Abdel‐Ghaffar

Abdel-Azeem

Roushdy

2015

Clinical Otolaryngology

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Evaluation of the duration of postoperative pain control obtained with bupivacaine injection into the tonsillar region in children who underwent tonsillectomy

Abstract: Intraoperative preincisional bupivacain injection is useful in postoperative pain control at early period of time in children undergoing tonsillectomy. But it has no effect in pain reduction after 24 hours.

Cited by 7 publications

References 0 publications

Effect of Local Injection of Bupivacaine for Pain Management After Tonsillectomy: A Randomized Clinical Trial

Effect of Local Injection of Bupivacaine for Pain Management After Tonsillectomy: A Randomized Clinical Trial

The role of local injection of Bupivacaine in the management of pain after tonsillectomy surgery

Safety and efficacy of pre‐incisional peritonsillar lornoxicam in paediatric post‐tonsillectomy pain: a prospective double‐blind, placebo‐controlled, split‐body clinical study

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