| Title | The effects of topical levobupivacaine on morbidity in pediatric tonsillectomy patients. | | Author(s) | Yılmaz S, Demiraran Y, Akkan N, Yaman H, Iskender A, Güçlü E, Oztürk O | | Institution | Duzce University, Duzce Medical Faculty, Department of ENT and Head & Neck Surgery, Duzce, Turkey. | | Source | Int J Pediatr Otorhinolaryngol 2009 Jun 3. | | Abstract | OBJECTIVE: To reduce the post-tonsillectomy morbidity by swab soaked with 5ml levobupivacaine hydroclorur (25mg/10ml).
STUDY DESIGN: A double-blind prospective randomized controlled clinical study.
METHODS: In this randomized double-blind study in group I (30 children, mean age 7.5+/-2.6) we tightly packed swab soaked with 5ml levobupivacaine hydroclorur (25mg/10ml) and in group II (21 children, mean age 7.9+/-3.7) we used 5ml saline swabs into each of the two tonsillar fossae after tonsillectomy for 5min. We used McGrath's face scale to compare the two groups in respect of pain control.
RESULTS: There was statistically significant pain relieving effect in the levobupivacaine group in the first 24h (p<0.05). But after 24h pain relieving effect of levobupivacaine was not significant (p>0.05). We did not see any serious complications for both groups. Postoperative morbidity mean results (nausea, vomiting, fever, bleeding, halitosis and ear pain) were not statistically different between the two groups (p>0.05).
CONCLUSION: Topical levobupivacaine seems to be a safe and easy medication for postoperative pain control in pediatric tonsillectomy patients. | | Language | ENG | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 19500860 |
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