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

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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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References

  1. Cowan D.J., Hibbert.J.Acute infection of the pharynx and tonsils. In Hibbert J. Editor Scott.Brown’s otolaryngology.London:Butterworth Heinemann publishers 1997/6/4/ 22.

    Google Scholar 

  2. Rosen M.The measurement of Pain. In: Harous AW, Smith R, Whittle B eds.Pain: New perspectives in measurement and management.London :Churchill Livingstone.1977:13–20.

    Google Scholar 

  3. Croxton PE, Cowden OT, Kleins.Applied general statistics.Prentice hall of India.New Delhi, 1971.

    Google Scholar 

  4. Wall PD.Woolf CJ.Muscle but not cutaneous C — afferent input produces prolonged increases in the excitability of the flexion reflex in rat.J Physiol 1984:356:443–58.

    PubMed  CAS  Google Scholar 

  5. Coderre TJ, Melzack R.Cutaneous hyperalgesia — contributions of peripheral and central nervous systems to the increase in pain sensitivity after injury.Brain Res 1987:404:95–106.

    Article  PubMed  CAS  Google Scholar 

  6. Cook A.J, Woolf CJ, Wall PD, McMohan SB.Expansion of cutaneous receptive field of dorsal horn neuereones following C-primary afferent fibre input.Nature 1985:325:151:53.

    Google Scholar 

  7. Dahl JB.Kehlet M.The value of preemptive analgesia in the treatment of postoperative pain.Br J Anaesth 1993:70:434–9.

    Article  PubMed  CAS  Google Scholar 

  8. Woolf C.J.Chang MS.Preemptive Analgesia — Treating postoperative pain by preventing the establishment of central sensitization.Anaesth Analg 1993:77:362–379.

    Article  CAS  Google Scholar 

  9. Wall PD.The prevention of postoperative pain.Pain 1988;33:289–90.

    Article  PubMed  CAS  Google Scholar 

  10. Ornotoft S.Longgeen A.Moiniche S.Dahl JB.A comparison of pre and post operative tonsillar infilteration with bupivacaine on pain after tonsillectomy — A pre-emptive effect? Anaesthesia 1994;49:151–4. II.

    Article  Google Scholar 

  11. Nigam A.Robin PE The role of bupivacaine in post tonsillectomy pain.Clin-Otolaryngol 1991;16:278–279.

    Article  PubMed  CAS  Google Scholar 

  12. Violaris MS.Tuffin JR.Can Post-tonsillectomy pain be reduced by topical bupivacaine-? Doublc blind controlled trial.J Laryngol Otol 1989;103:592–3.

    PubMed  CAS  Google Scholar 

  13. Schoem SR.Watkins GL, Kunn JJ.Thompson DH.Control of early postoperative pain with bupivacaine in pediatric tonsillectomy.Ear Nose Throat J 1993:72:560 3.

    PubMed  Google Scholar 

  14. Schoem SR.Watkins GL.Kunn .1.J.Aburger JE, Kim KZ, Thompson OH. Control of early postoperative pain with bupivacaine in adult local tonsillectomy.Arch Ololaryngol Head and Neck Surgery 1993:l 19:292–293.

    Google Scholar 

  15. Jebeles JA.Reilly JS.Gulierres JF.Bradley EL, Kissin I.The effect of preincisional infilteration of tonsils with bupivacaine on the pain following tonsillectomy under general anaesthesia.Pain 1991:47:305–8.

    Article  PubMed  CAS  Google Scholar 

  16. Jebeles JA.Reilly JS, Gutieire.JF.Bradley EL.Kissin I.Tonsillectomy and adcnoidccloiny pain reduction by local hupivacaine infilleration in children, hit J Pcdiali Oloihinolaryngol 1993:25:149–54.

    CAS  Google Scholar 

  17. Stuart JC.MacGregor FB, Crains CS.Chandrachud HR. Peritonsillar infilteration wilh bupivacaine for paediatric tonsillectomy.Anaesth Intenstive Care.1994:22:679–82.

    CAS  Google Scholar 

  18. Melchor MA.Villafruela MA.Muno.B.-Domingo C.Ontanon M, Gascia A.Postoperative pain in tonsillectomy in general anaesthesia and local infilteration.Acta Otori nolaringol 1994:45:349–55.

    CAS  Google Scholar 

  19. Dierkling GW.Dahl JB.Kanstrup .J. et al.Effect of pre vs. post-operative inguinal field block on postoperative pain after herniorrhaphy.Br J Anaesth 1992:68:344–8.

    Article  Google Scholar 

  20. Ejlersen E.Andersen HB.Eliasen K, Mogensen T.A comparison between preincisional and postincisional lidocaine infiltration and postoperative pain.Anesth Analg 1992:74:495–8.

    Article  PubMed  CAS  Google Scholar 

  21. Ringrose NH, Cross MJ.Femoral nerve block in knee joint surgery.Am J Sports Med 1984:12:398–402.

    Article  PubMed  CAS  Google Scholar 

  22. Ritchie JM. Greene NM. Local Anaesthetics. Gilman AG, Rail TW, Nies AS. Taylor P eds. Goodman and Gilman’s. The pharmacological basis of therapeutics. Pergamon press 1990:320.

  23. Bugedo G.I.Carcamo CR.Mertens RA, Dagnino JA, Munoz HR.Preoperative percutaneous ileoinguinal and iliohypogastric nerve blockwith 0.5% bupivacaine for postherniorrhaphy pain management in adults.Reg Anaesth 1990;15:130–33.

    CAS  Google Scholar 

  24. Rademaker BMP.SiH IL, Kalkman CJ. et al.Effects of intrapleurally administered bupivacaine 0.5% on opioid analgesics requirements and endocrine response during and after cholecystectomy: a randomised double — blind controlled study.Acta anaesthesiol Scand 1991:35:108–12.

    Article  PubMed  CAS  Google Scholar 

  25. Dionne RA.Cooper SA.Evaluation of preoperative ibuprofen for postoperative pain after removal of the third molars.Oral Surg 1988:45:851–6.

    Article  Google Scholar 

  26. McQuay H.J.Carroll D, Moore RA.Postoperative orthopaedic pain — the effect of opiate premedication and local anaesthetic blocks.Pain 1988;33:29l-5.

    Article  Google Scholar 

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Singh, G.B., Yadav, S.P.S. & Singh, J. Comrarative study of infiltration and surface application of bupivacaine in post tonsillectomy pain. Indian J Otolaryngol Head Neck Surg 58, 147–151 (2006). https://doi.org/10.1007/BF03050771

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