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Indian Journal of Otolaryngology and Head & Neck Surgery logoLink to Indian Journal of Otolaryngology and Head & Neck Surgery
. 2006 Apr;58(2):147–151. doi: 10.1007/BF03050771

Comrarative study of infiltration and surface application of bupivacaine in post tonsillectomy pain

Gautam Bir Singh 1,✉, Sumer Pal Singh Yadav 1, Jagat Singh 1
PMCID: PMC3450776  PMID: 23120268

Abstract

The concept of preamptive analgesia using bupivacaine to minimize post operative pain is a well established fact in surgery today. But the role ol bupivacaine to control post operative pain in tonsillectomy is still viewed with some degree of suspicion. The review of medical literature gives us conflicting views regarding its use. We present a randomised double blind study of 80 cases in which bupivacaine was used in the form of infilteration (preoperatively and packs (postoperatively) to minimize post tonsillectomy pain. The results were statistically analysed using ‘t’ test and bupivacaine was found to be highly effective in minimizing post operative tonsillectomy pain. But the superiority of one method of application over the other could not be established.

Keywords: Tonsillectomy, Bupivacaine infilteration, Bupivacaine packs, pre-emptive analgesia

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