BUPIVACAINE INFILTRATION VERSUS DICLOFENAC SUPPOSITORY FOR POST-TONSILLECTOMY PAIN RELIEF IN PAEDIATRIC PATIENTS

BUPIVACAINE INFILTRATION VERSUS DICLOFENAC SUPPOSITORY FOR POST-TONSILLECTOMY PAIN RELIEF IN PAEDIATRIC PATIENTS

Authors

  • Nayna S Solanki Gujarat Cancer Society Medical College, Ahmedabad
  • Mihir Goswami GMERS, Gotri, Vadodara
  • Neelam Thaker BJMC, Ahmedabad

Keywords:

Tonsillectomy, Postoperative analgesia, Diclofenac, Bupivacaine

Abstract

Background: Pain management after tonsillectomy in children remains a dilemma for anaesthesiologist. The study was designed to compare the effect of pre-incisional infiltration of Bupivacaine (0.25%) versus Diclofenac suppository on postoperative pain relief in children.

Methodology: Fifty patients of American Society of Anaesthesiology grade – I, aged between 1 and 15 years undergoing elective tonsillectomy were selected. They were randomly divided equally into group A and B. Five minutes before incision, peritonsillar fossa were infiltrated with 5 ml Bupivacaine(0.25%) in group A patients. Group B received Diclofenac suppository 2mg/kg after induction. Intra operatively all patients were observed for vital parameters. Post-operatively all the patients were observed for 24 hours for analgesia using observer pain scale, analgesic requirement, vital data and other complications.

Result: Diclofenac suppository is a better option for post-operative analgesia in paediatric patients undergoing tonsillectomy as compared to bupivacaine infiltration as there were significant difference in pain score (P<0.05) after two hours onwards post operatively. Complications like bradycardia, hypotension, allergic reaction and convulsion were not found in either group.

Conclusion: Diclofenac suppository is a better option as compared to pre-incisional bupivacaine infiltration because of its convenience and duration of analgesia.

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Published

2012-03-31

How to Cite

Solanki, N. S., Goswami, M., & Thaker , N. (2012). BUPIVACAINE INFILTRATION VERSUS DICLOFENAC SUPPOSITORY FOR POST-TONSILLECTOMY PAIN RELIEF IN PAEDIATRIC PATIENTS. National Journal of Medical Research, 2(01), 5–7. Retrieved from https://njmr.in/index.php/file/article/view/699

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Original Research Articles
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