Araştırma Makalesi

Effect of peritonsillar prilocaine infiltration on post-tonsillectomy pain in pediatric population

Cilt: 46 Sayı: 3 30 Eylül 2021
Burak Mustafa Taş *, Burak Erden , Gökçe Şimşek
PDF İndir
Cukurova Medical Journal Kapak Cukurova Medical Journal
EN TR

Effect of peritonsillar prilocaine infiltration on post-tonsillectomy pain in pediatric population

Abstract

Purpose: This study aims to evaluate the efficacy of peritonsillar prilocaine in post-tonsillectomy pain by using the Visual Analog Scale (VAS). Materials and Methods: A total of 40 pediatric patients were included in this study. There were 20 patients in the prilocaine group (Group 1) and 20 patients in the control group (Group 2). In Group 1, peritonsillar prilocaine infiltration was performed. In Group 2, peritonsillar saline infiltration was performed. VAS scores of at the postoperative 1st, 4th, 12th and 24th hours and on the 2nd, 3rd, 4th, 5th, 6th and 7th days were evaluated. In addition, the presence of nausea and vomiting and the number of additional doses of intravenous paracetamol administered in the first 24 hours were evaluated. Results: When the groups were compared, a significant reduction in post-tonsillectomy pain was observed in the prilocaine group at the 1st, 4th and 12th hours compared to the control group. There was no significant difference between the two groups in other scores. There was no significant difference between the groups for nausea and vomiting and consumption of paracetamol values. Conclusion: Peritonsillar prilocaine infiltration was effective in post-tonsillectomy pain at the 1st, 4th and 12th hours postoperatively. Thus, peritonsillar prilocaine infiltration can be used in post-tonsillectomy pain because it is fast and effective.

Keywords

Peritonsillar infiltration , Post-tonsillectomy pain , Prilocaine , Tonsillectomy , Visual Analog Scale

Kaynakça

  1. 1. Cohen N, Sommer DD. Post-tonsillectomy pain control: consensus or controversy? Pain Manag. 2016; 6(1):31-7.
  2. 2. Patel HH, Straight CE, Lehman EB, Tanner M, Carr MM. Indications for tonsillectomy: a 10-year retrospective review. Int. J. Pediatr. Otorhinolaryngol. 2016; 78(12), 2151–2155.
  3. 3. Neri G, Baffa C, Vitullo F, Di Mascio R, Ballone E. Single-Blind Evaluation of Post-Tonsillectomy Pain Treatment with an Eutectic Mixture of Local Anesthetics. European Journal of Inflammation. 2006:181-189.
  4. 4. Grainger J, Saravanappa N. Local anaesthetic for post-tonsillectomy pain: a systematic review and meta-analysis. Clin Otolaryngol. 2008; 33(5):411-9.
  5. 5. Hollis L.J., Burton M.J., Millar J.M. 2000. Perioperative local anaesthesia for reducing pain following tonsillectomy. Cochrane Database of Systematic Reviews Issue 4 art. No. CD001874.
  6. 6. Kilinc L., Türk B., Türk H.S. et al. Peritonsillar dexamethasone–bupivacaine vs. bupivacaine infiltration for post-tonsillectomy pain relief in children: a randomized, double-blind, controlled study. Eur Arch Otorhinolaryngol 2019; 276, 2081–2089.
  7. 7. Yap D, Ng M, Moorthy R. #10-Year Challenge: Local anaesthetic for post-tonsillectomy pain: Update meta-analysis. Clin Otolaryngol. 2020; 45(4):517-528. 8. Tetzlaff JE. The pharmacology of local anesthetics. Anesthesiol Clin North Am. 2000; 18(2):217-33, v.
  8. 9. Boublik J, Gupta R, Bhar S, Atchabahian A. Prilocaine spinal anesthesia for ambulatory surgery: A review of the available studies. Anaesth Crit Care Pain Med. 2016; 35(6):417-421.
  9. 10. Apuhan T, Yildirim YS, Gulcu N, Koçoglu H, Karagöz Y. The effect of prilocaine or levobupivacaine infiltration on pain during nasal packing removal. Otolaryngol Head Neck Surg. 2011; 145(3):418-21.
  10. 11. Özkiriş M, Aydin R, Gencer ZK, Saydam L. Comparison of topical anesthetic effects of lidocaine, prilocaine, ropivacaine, and bupivacaine in transnasal fiberoptic nasopharyngolaryngoscopy. Am J Rhinol Allergy. 2014; 28(3):e141-3.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Klinik Tıp Bilimleri

Bölüm

Araştırma Makalesi

Yazarlar

Yayımlanma Tarihi

30 Eylül 2021

Gönderilme Tarihi

6 Nisan 2021

Kabul Tarihi

25 Mayıs 2021

Yayımlandığı Sayı

Yıl 2021 Cilt: 46 Sayı: 3

DOI

https://doi.org/10.17826/cumj.910794

IZ

https://izlik.org/JA65AN76FZ

Kaynak Göster

RIS / Bibtex
MLA
Taş, Burak Mustafa, vd. “Effect of peritonsillar prilocaine infiltration on post-tonsillectomy pain in pediatric population”. Cukurova Medical Journal, c. 46, sy 3, Eylül 2021, ss. 1094-9, doi:10.17826/cumj.910794.
Creative Commons Lisansı