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Bupivacaine Infiltration versus Diclofenac Suppository for Post-Tonsillectomy Pain Relief in Paediatric Patients

Journal: National Journal of Medical Research (Vol.2, No. 1)

Publication Date:

Authors : ;

Page : 5-7

Keywords : Tonsillectomy; Postoperative analgesia; Diclofenac; Bupivacaine;

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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

Last modified: 2012-11-04 23:03:17