Horcasitas-Pous RA, Navarrete K

Language: Spanish
References: 10
Page: 121-125
PDF size: 321.19 Kb.

ABSTRACT

Background: So far there is not a technique or technology associated to tonsillectomy that may help to perform it without pain.
Objective: To evaluate the effects of preoperative peritonsillar injection of lidocaine plus adrenaline 1:200,000, clonidine and fentanyl in children undergoing tonsillectomy/adenotonsillectomy versus placebo.
Patients and method: A prospective, comparative study was done with 96 children (age 2-14 years) submitted to tonsillectomy-adenotonsillectomy, divided into two groups: in one a preoperative block was done at tonsillar fossa with lidocaine 2% with epinephrine 1:200,000, fentanyl and clonidine, and in the other group placebo was administered. Visual analog scale was used for postoperative pain assessment; follow up after surgery was of seven days.
Results: Median visual analog scale for the infiltration group was significantly lower in days 1 through 4 (<0.001); after day 5 no significant differences were observed, all patients were outpatients.
Conclusion: Preincisional injection of lidocaine plus adrenaline 1:200,000, fentanyl and clonidine decreases significantly postoperative pain and improves soft diet in the first 48 hours without a serious risk of a severe complication.

REFERENCES

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