Peritonsillar Ropivacaine Infiltration in Paediatric Tonsillectomy: A Randomised Control Trial
Introduction: Various efforts have been made to reduce post tonsillectomy pain in children. The present study was undertaken to evaluate the efficacy and safety of Ropivacaine in post-operative pain management in these children. Materials and Methods: This study is a Randomized control study on 140...
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Mashhad University of Medical Sciences
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doaj-b75b0db8fabb4a58a948832338c7ab6f2021-01-05T07:12:34ZengMashhad University of Medical SciencesIranian Journal of Otorhinolaryngology2251-72512251-726X2020-07-0132420721210.22038/ijorl.2020.36577.219916025Peritonsillar Ropivacaine Infiltration in Paediatric Tonsillectomy: A Randomised Control TrialArvinder-Singh Sood0Pooja Pal1Gurupreet-Singh Gill2Department of Otorhinolaryngology, SGRD Institute of Medical Sciences and Research, Amritsar, Punjab, India – 143001.Department of Otorhinolaryngology, SGRD Institute of Medical Sciences and Research, Amritsar, Punjab, India – 143001.Department of Otorhinolaryngology, SGRD Institute of Medical Sciences and Research, Amritsar, Punjab, India – 143001.Introduction: Various efforts have been made to reduce post tonsillectomy pain in children. The present study was undertaken to evaluate the efficacy and safety of Ropivacaine in post-operative pain management in these children. Materials and Methods: This study is a Randomized control study on 140 patients between 4 - 12 years of age, in whom tonsillectomy was performed in a tertiary care centre between January 2017 to November 2018 using standard dissection and snare surgical technique. Postoperatively, patients were randomized into 2 groups of 70 patients each, receiving tonsillar fossa infiltration with 0.2% Ropivacaine or 0.9% normal saline respectively. Patients were assessed as per Wong Baker’s Faces Scoring System at 2 hours, 4 hours, 8 hours, 18 hours, 24 hours, and 48 hours postoperatively. All the results were analyzed by SPSS software. Chi- square test and Mann-Whitney test were used for assessment of level of significance, with P- value of less than 0.05 taken as significant. Results: Both the groups were comparable with respect to age and sex. At 48 hours, in study group, maximum number of patients 35 (50%) had Wong Baker score 0, while in control group, maximum number of patients 52 (74.3%) had Wong Baker score 4 (P< 0.01). The difference in the mean Deglutition time between both groups was significant (P< 0.01). Conclusion: Ropivacaine infiltration is a effective modality for post-tonsillectomy pain management in children, with minimal side-effects.https://ijorl.mums.ac.ir/article_16025_6114ec6359a81c77a1c62b277a912892.pdfpost operative analgesiaropivacainetonsillectomy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Arvinder-Singh Sood Pooja Pal Gurupreet-Singh Gill |
spellingShingle |
Arvinder-Singh Sood Pooja Pal Gurupreet-Singh Gill Peritonsillar Ropivacaine Infiltration in Paediatric Tonsillectomy: A Randomised Control Trial Iranian Journal of Otorhinolaryngology post operative analgesia ropivacaine tonsillectomy |
author_facet |
Arvinder-Singh Sood Pooja Pal Gurupreet-Singh Gill |
author_sort |
Arvinder-Singh Sood |
title |
Peritonsillar Ropivacaine Infiltration in Paediatric Tonsillectomy: A Randomised Control Trial |
title_short |
Peritonsillar Ropivacaine Infiltration in Paediatric Tonsillectomy: A Randomised Control Trial |
title_full |
Peritonsillar Ropivacaine Infiltration in Paediatric Tonsillectomy: A Randomised Control Trial |
title_fullStr |
Peritonsillar Ropivacaine Infiltration in Paediatric Tonsillectomy: A Randomised Control Trial |
title_full_unstemmed |
Peritonsillar Ropivacaine Infiltration in Paediatric Tonsillectomy: A Randomised Control Trial |
title_sort |
peritonsillar ropivacaine infiltration in paediatric tonsillectomy: a randomised control trial |
publisher |
Mashhad University of Medical Sciences |
series |
Iranian Journal of Otorhinolaryngology |
issn |
2251-7251 2251-726X |
publishDate |
2020-07-01 |
description |
Introduction: Various efforts have been made to reduce post tonsillectomy pain in children. The present study was undertaken to evaluate the efficacy and safety of Ropivacaine in post-operative pain management in these children. Materials and Methods: This study is a Randomized control study on 140 patients between 4 - 12 years of age, in whom tonsillectomy was performed in a tertiary care centre between January 2017 to November 2018 using standard dissection and snare surgical technique. Postoperatively, patients were randomized into 2 groups of 70 patients each, receiving tonsillar fossa infiltration with 0.2% Ropivacaine or 0.9% normal saline respectively. Patients were assessed as per Wong Baker’s Faces Scoring System at 2 hours, 4 hours, 8 hours, 18 hours, 24 hours, and 48 hours postoperatively. All the results were analyzed by SPSS software. Chi- square test and Mann-Whitney test were used for assessment of level of significance, with P- value of less than 0.05 taken as significant. Results: Both the groups were comparable with respect to age and sex. At 48 hours, in study group, maximum number of patients 35 (50%) had Wong Baker score 0, while in control group, maximum number of patients 52 (74.3%) had Wong Baker score 4 (P< 0.01). The difference in the mean Deglutition time between both groups was significant (P< 0.01). Conclusion: Ropivacaine infiltration is a effective modality for post-tonsillectomy pain management in children, with minimal side-effects. |
topic |
post operative analgesia ropivacaine tonsillectomy |
url |
https://ijorl.mums.ac.ir/article_16025_6114ec6359a81c77a1c62b277a912892.pdf |
work_keys_str_mv |
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