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Peritonsillar infiltration with bupivacaine for paediatric tonsillectomy
J C Stuart1, F B MacGregor, C S Cairns
1Department of Anaesthesia, Royal Hospital for Sick Children, Yorkhill, Glasgow.
Anaesthesia and Intensive Care
|December 1, 1994
Summary
Peritonsillar infiltration with bupivacaine provided short-term pain relief for children undergoing adenotonsillectomy. Pain scores were lower upon awakening and at 10 minutes but not significantly different later.
Area of Science:
- Anesthesiology
- Pediatric Surgery
- Pain Management
Background:
- Adenotonsillectomy is a common pediatric surgical procedure.
- Effective postoperative pain management is crucial for pediatric recovery.
- Peritonsillar infiltration is a potential analgesic technique.
Purpose of the Study:
- To evaluate the efficacy of peritonsillar bupivacaine infiltration for analgesia in children undergoing adenotonsillectomy.
Main Methods:
- Double-blind, randomized study involving 42 children.
- Comparison of 0.25% plain bupivacaine versus saline for peritonsillar infiltration.
- Pain scores assessed post-anesthesia at multiple time points (awakening, 10 min, 1, 4, 24 hours).
Main Results:
- Significantly lower pain scores in the bupivacaine group upon awakening and at 10 minutes post-procedure (P < 0.05).
- No significant difference in pain scores between groups at 1 hour, 4 hours, or 24 hours.
- Moderate effectiveness observed for bupivacaine analgesia.
Conclusions:
- Peritonsillar bupivacaine infiltration offers limited, short-term postoperative pain relief for pediatric adenotonsillectomy.
- Further research may explore adjuncts or alternative analgesic strategies for sustained pain control.