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The effect of peritonsillar infiltration on intra-operative blood loss in children
S Candan1, A V Yücetürk, H Muhtar
1KTU Medicine Faculty, ENT Department, Trabzon, Turkey.
Insights
Peritonsillar space infiltration with lidocaine and epinephrine or normal saline significantly reduced intra-operative blood loss in pediatric patients. This technique offers benefits for minimizing bleeding during tonsillectomy procedures.
Area of Science:
- Anesthesiology
- Pediatric Surgery
- Otolaryngology
Background:
- Tonsillectomy is a common pediatric surgical procedure.
- Intra-operative blood loss can complicate tonsillectomy, particularly in children.
- Minimizing blood loss is crucial for patient safety and surgical efficiency.
Purpose of the Study:
- To evaluate the efficacy of peritonsillar space infiltration in reducing intra-operative blood loss during pediatric tonsillectomy.
- To compare the effects of lidocaine with epinephrine versus normal saline for peritonsillar infiltration.
- To assess the benefits of this technique in the pediatric population.
Main Methods:
- A prospective study involving three groups of pediatric patients undergoing tonsillectomy.
- Group I: Peritonsillar infiltration with 0.5% lidocaine containing epinephrine.
- Group II: Peritonsillar infiltration with normal saline.
- Group III: Control group without peritonsillar infiltration.
Main Results:
- Both lidocaine with epinephrine and normal saline infiltration significantly reduced intra-operative blood loss compared to the control group.
- The study demonstrated a significant decrease in blood loss in Groups I and II versus Group III.
- The findings highlight the effectiveness of peritonsillar infiltration in managing intra-operative bleeding.
Conclusions:
- Peritonsillar space infiltration, using either lidocaine with epinephrine or normal saline, is an effective method to significantly reduce intra-operative blood loss in pediatric tonsillectomy.
- This technique offers a valuable strategy for improving surgical outcomes in children.
- The benefits of reduced blood loss during pediatric tonsillectomy are substantial and warrant consideration in surgical practice.
Abstract:
Infiltration of the peritonsillar space in one group of patients with lidocaine 0.5% containing epinephrine (Group I) and with normal saline in another (Group II) did reduce the intra-operative blood loss significantly compared to the control group (Group III) who did not get any injections. The benefits of reducing intra-operative blood loss in children is discussed.