Ropivacaine compared to bupivacaine for post-tonsillectomy pain relief in children: A randomized controlled study

The effects of topical levobupivacaine on morbidity in pediatric tonsillectomy patients

“…Group II (saline) n = 21 [22] reported that local ropivacaine infiltration was as much effective as bupivacaine for post-tonsillectomy pain. Erhan et al [23] reported that ketamine infiltration into the tonsillar region immediately after tonsillectomy for pain blockage, was found to be effective and without side effects.…”

Systematic Review of Clinical Evidence for Local Anesthetic Wound Infiltration in Reduction of Post-Surgical Pain

“…All studies but one used the pre-incisional injection of the tonsillar bed, with six of the studies (out of nine total) finding a reduction in post-operative pain via a pain scale similar to the visual analog scale. [23][24][25][26][27]. Two studies did find that post-operative pain was not reduced [22,28], one stating that after consideration of the usage of other analgesics that they saw no reduction in the amount of the other analgesics required for patient comfort [29].…”

The Efficacy of Intra-Articular Injections for Pain Control Following the Closed Reduction and Percutaneous Pinning of Pediatric Supracondylar Humeral Fractures

“…During orthopaedic procedures involving the lower limb, however, both bupivacaine and ropivacaine regional blocks have been demonstrated to be equally effective for controlling postoperative pain [33][34][35] . Some authors have reported that, during pediatric tonsillectomies, peritonsillar infiltration of bupivacaine and ropivacaine are equally effective 36 , whereas others have reported that bupivacaine provides superior pain relief 37 . When used caudally in children, ropivacaine and bupivacaine have been reported to be equally effective [38][39][40] .…”