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A Comparison of the Effect local Injection of Bupivacaine on the Post Tonsillectomy Pain in Children
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| Author:
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GHOLAMABBAS SABZ, AKVAN PAYMARD, ARDASHIR AFRASIABIFAR , ROGHAYEH PANAHI, MAHIN ROOZITALAB
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| Abstract:
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Background: Tonsillectomy is still one of the most common surgeries worldwide, for reasons such as tonsillitis,
peri-tonsillar abscess, and tonsil cancer after tonsillectomy surgery, pain is the most common complaint in
children. Most of these complications are directly related to postoperative pain .Inadequate pain relief in children
will lead to immediate and long-term adverse outcomes. Pain control is of particular importance due to the
reduction of suffering and restlessness in children with tonsillectomy. . The aim of this study was to compare the
effect of topical bupivacaine injection on pain after tonsillectomy at Imam Sajjad Hospital in Yasuj in 2015.
Method: This is a double blind clinical trial study performed at Imam Sajjad Hospital in Yasuj. The study
population consisted of all children 4-10 years old who were candidates for tonsillectomy. All children with
inclusion criteria were selected by non-probability and available sampling. A total of 58 children participated in
the present study that was randomly divided into two groups. After transferring the children to the ENT ward,
the patient's pain severity data were collected 2 hours, 4 hours, 6 hours and 8 hours after surgery using the
Wake Baker scale by a nursing expert who was unaware of the patient's received medication.
Result: Mean age of the children in the study was 6.4 ± 1.9 (range 4-10 years), 52.9% male and 47.1% female.
There was no significant difference between the two groups in terms of age and sex (p> 0.05). The results of
the study showed that the children in the control group had significantly more pain after tonsillectomy at 2, 4, 6
and 8 hours postoperatively compared to the intervention group. In the children of the bupivacaine group at 2
and 4 hours postoperatively, the pain intensity was 4-7 and at 6 hours postoperatively 4-8 and 8 hours
postoperatively
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| Keyword:
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bupivacaine, tonsillectomy, Imam Sajjad Hospital
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2020.12.01.116
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| Download:
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