Comrarative study of infiltration and surface application of bupivacaine in post tonsillectomy pain.

Indian J Otolaryngol Head Neck Surg

Dept of E.N.T, Pt.B.D.S PGIMS, Rohtak.

Published: April 2006

AI Article Synopsis

  • The study explores the effectiveness of bupivacaine as a preemptive analgesic to reduce postoperative pain in tonsillectomy patients, addressing ongoing skepticism in the medical community.
  • A randomized double-blind trial was conducted with 80 cases, using bupivacaine both through infiltration before surgery and packs after surgery, with results analyzed statistically.
  • The findings indicated that bupivacaine significantly decreased postoperative pain, though no definitive conclusion was reached on which application method was superior.

Article Abstract

The concept of preamptive analgesia using bupivacaine to minimize post operative pain is a well established fact in surgery today. But the role ol bupivacaine to control post operative pain in tonsillectomy is still viewed with some degree of suspicion. The review of medical literature gives us conflicting views regarding its use. We present a randomised double blind study of 80 cases in which bupivacaine was used in the form of infilteration (preoperatively and packs (postoperatively) to minimize post tonsillectomy pain. The results were statistically analysed using 't' test and bupivacaine was found to be highly effective in minimizing post operative tonsillectomy pain. But the superiority of one method of application over the other could not be established.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3450776PMC
http://dx.doi.org/10.1007/BF03050771DOI Listing

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