A randomised controlled trial of the effect of regional nerve blocks on immediate post-tonsillectomy pain in adult patients
Post‐operative pain is the main cause of morbidity following tonsillectomy. The efficacy of glossopharyngeal and lesser palatine nerve blocks in controlling postoperative pain in adult patients was investigated prospectively. Patients 16 years and older admitted for elective tonsillectomy were rando...
Saved in:
Published in | Clinical otolaryngology Vol. 25; no. 5; pp. 413 - 417 |
---|---|
Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Oxford, UK
Blackwell Science Ltd
01.10.2000
Wiley Subscription Services, Inc |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Summary: | Post‐operative pain is the main cause of morbidity following tonsillectomy. The efficacy of glossopharyngeal and lesser palatine nerve blocks in controlling postoperative pain in adult patients was investigated prospectively. Patients 16 years and older admitted for elective tonsillectomy were randomised to one of three groups to receive a pre‐incisional oropharyngeal injection of 0.5% bupivicaine, a ‘dummy’ injection of saline or no injection. Dissection tonsillectomy and general anaesthetic techniques were standardized. Postoperative pain was monitored for 24 h. anova, χ2 and Fisher's exact test were used for intergroup comparisons. Ninety‐two patients (72 women and 20 men), mean age 22 years were studied. Twenty‐nine patients received 0.5% bupivicaine, 30 saline and 33 no pre‐incisional injection. The overall mean pain scores of 2.1, 1.9 and 1.9 in the bupivicaine, saline and no injection groups were similar. Glossopharyngeal and lesser palatine 0.5% bupivicaine nerve blocks are not effective in reducing early post‐tonsillectomy pain. |
---|---|
Bibliography: | ArticleID:COA397 ark:/67375/WNG-8M6W4328-N istex:5139E51F62BCCB37BB07757016F885F81782B5EB Presented in part at the Otorhinolaryngological Research Society Meeting, October 1999. ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 ObjectType-News-3 content type line 23 |
ISSN: | 0307-7772 1749-4478 1365-2273 1749-4486 |
DOI: | 10.1046/j.1365-2273.2000.00397.x |