The effects of topical levobupivacaine on morbidity in pediatric tonsillectomy patients.

Abstract:

OBJECTIVE:To reduce the post-tonsillectomy morbidity by swab soaked with 5 ml levobupivacaine hydroclorur (25 mg/10 ml). 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 5 ml levobupivacaine hydroclorur (25mg/10 ml) and in group II (21 children, mean age 7.9+/-3.7) we used 5 ml saline swabs into each of the two tonsillar fossae after tonsillectomy for 5 min. 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.

authors

Yilmaz S,Demiraran Y,Akkan N,Yaman H,Iskender A,Güçlü E,Oztürk O

doi

10.1016/j.ijporl.2009.05.006

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

1208-10

issue

9

eissn

0165-5876

issn

1872-8464

pii

S0165-5876(09)00249-3

journal_volume

73

pub_type

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