Intraoperative Use of Analgesics in Tonsillar Fossa and Postoperative Evaluation with Visual analogue Scale Scores-A Prospective, Randomized, Placebo-Controlled, Double-Blind Clinical Trial
Int. arch. otorhinolaryngol. (Impr.)
;
24(1): 62-67, Jan.-Mar. 2020. tab, graf
Artigo
em Inglês
| LILACS
| ID: biblio-1090549
ABSTRACT
Abstract 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 < 0.05). The majority of the study subjects had no postoperative complications, and patients receiving bupivacaine infiltration required less additional analgesics in the first 24 hours after surgery. Conclusion We advocate the use of bupivacaine infiltration or packing immediately following the procedure to achieve adequate postoperative analgesia.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Dor Pós-Operatória
/
Tonsilectomia
/
Analgesia
/
Analgésicos
/
Cuidados Intraoperatórios
Tipo de estudo:
Ensaio Clínico Controlado
/
Estudo diagnóstico
/
Estudo observacional
Limite:
Adolescente
/
Criança
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Int. arch. otorhinolaryngol. (Impr.)
Assunto da revista:
Otorrinolaringologia
Ano de publicação:
2020
Tipo de documento:
Artigo
País de afiliação:
Brasil
/
Paquistão
/
Tanzânia
/
Estados Unidos
Instituição/País de afiliação:
Armed Forces Hospital Southern Region/BR
/
Jinnah Medical College and Hospital/PK
/
Shifa Intersternal Hospital/PK
/
Sir Syed College of Medical Sciences for girls/PK
/
Stanford University/US
/
The Aga Khan Hospital/TZ
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