Effect of Topical Bupivacaine on Post-Tonsillectomy Pain Relief in Children Referred to Ahvaz Imam Khomeini Hospital in 2013

Tonsillectomy is a common pediatric surgery followed by a severe, sometimes debilitating, postoperative pain. Many drugs can be used to control pain..

This study aimed to investigate the effects of topical bupivacaine in controlling postoperative pain..Patients and

This clinical trial was performed on 60 elective tonsillectomy patients in Imam Khomeini Hospital, Ahvaz, in 2013. The patients were randomly divided into two groups of A and B; Group A received topical bupivacaine just before the operation, while Group B received placebo (distilled water). The results were statistically analyzed using SPSS-19..

Patients aged 4 to 13 years. The amount of postoperative pain was obviously less in the bupivacaine group than the other group. The mean time of postoperative fluid intake was lower in group A (bupivacaine) than Group B (placebo) (P < 0.001). The mean pain score at 24 hours after the operation was lower in the bupivacaine group than the placebo group (P < 0.001)..

Considering that tonsillectomy is one of the most common surgeries in children and produces a lot of pain, using a low risk medicine such as bupivacaine to recover child as soon as possible seems reasonable..