Year: 1999 Vol. 65 Ed. 1 - (4º)
Artigos Originais
Pages: 36 to 42
Local Anesthetil Efficacy Adenoidectomy and Tonsillectomy Postoperative Pain.
Author(s):
Rogério C.Pasinato*,
Fabiano B. Gavazzoni**;
Guilherme S. do A. Catani**,
Alessandra F. Richter** ,
Luciana G. Stahlke***,
Marcia L. Brotto****.
Keywords: adenoidectomy, tonsillectomy, local anesthetics, pain, analgesia
Abstract:
The concept that association of general anesthesia and local anesthetics infiltration ira the operative site should ease the postoperative pain ira well known. This was applied for adenoidectomy and tonsillectomy ira 60 patients from 6 to 12 years-old, who were divided into groups ira a randomized study: 1) peritonsillar infiltration before the incision with bupivacaine and use of saline isotonic solution (SIS) ira the operative site after the tonsils with draw;1I) peritonsillar infiltration before the incision with SIS and use of bupivacaine ira the operative site after the tonsils withdraw; III) adenoidectomy and tonsillectomy by standard technique without using local agenis. The postoperative pain was estimated by a score from 1 (no pain) to 5 (worst pain) 3 and 6 hours following surgery and daily from the second to the fourth postoperative days. The statistics analysis were significant for procedure timing, it was greater ira group 1 than group 111 (p=0,042). The analysis was statistically more significant for slight pain ira the second day ira group 1 than groups II (p<0,05) and 111 (p<0,001). When comparing moderate pain 6 hours following surgery group 1 was statistically more significant than group 11 (p<0,05). With regard to moderate pain ira the second day group I was statistically more significant than groups Il (p<0,025) and 111 (p<0,005). The peritonsillar infiltration facilitates the acess to dissection area. Bupivacane is efetive for ease the immediate and slow postoperative pain of adenoidectomy and tonsillectomy and there is less require for analgesics when using local anesthesia.
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