Effects of peritonsillar infiltration on post-tonsillectomy pain - A double-blind study

被引:46
作者
Goldsher, M
Podoshin, L
Fradis, M
Malatskey, S
Gerstel, R
Vaida, S
Gaitini, L
机构
[1] BNAI ZION MED CTR, DEPT OTOLARYNGOL HEAD & NECK SURG, IL-31048 HAIFA, ISRAEL
[2] TECHNION ISRAEL INST TECHNOL, BRUCE RAPPAPORT FAC MED, IL-31096 HAIFA, ISRAEL
[3] BNAI ZION MED CTR, DEPT ANESTHESIOL, HAIFA, ISRAEL
关键词
bupivacaine hydrochloride; tonsillectomy;
D O I
10.1177/000348949610501105
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
The concept that local infiltration of the operative area with a local anesthetic when using general anesthesia could alleviate postoperative pain is well known. We tested this concept on 129 patients scheduled for elective tonsillectomy. The patients were investigated in a double-blind, randomized study, and the operation was carried out via the standard technique of infiltrating the peritonsillar area preoperatively. The results indicated that preincisional infiltration of the tonsils with bupivacaine hydrochloride markedly decreased the intensity of pain following tonsillectomy, well beyond the immediate postoperative period.
引用
收藏
页码:868 / 870
页数:3
相关论文
共 10 条
[1]  
BROADMAN LM, 1989, LARYNGOSCOPE, V99, P578
[2]   DYNAMIC RECEPTIVE-FIELD PLASTICITY IN RAT SPINAL-CORD DORSAL HORN FOLLOWING C-PRIMARY AFFERENT INPUT [J].
COOK, AJ ;
WOOLF, CJ ;
WALL, PD ;
MCMAHON, SB .
NATURE, 1987, 325 (6100) :151-153
[3]  
Covino BG., 1988, NEURAL BLOCKADE CLIN, P111
[4]  
Crile GW, 1913, LANCET, V2, P7
[5]  
HUSKISSON EC, 1974, LANCET, V2, P1127, DOI 10.1016/S0140-6736(74)90884-8
[6]   THE EFFECT OF PRE-INCISIONAL INFILTRATION OF TONSILS WITH BUPIVACAINE ON THE PAIN FOLLOWING TONSILLECTOMY UNDER GENERAL-ANESTHESIA [J].
JEBELES, JA ;
REILLY, JS ;
GUTIERREZ, JF ;
BRADLEY, EL ;
KISSIN, I .
PAIN, 1991, 47 (03) :305-308
[7]  
PAPPAS A L, 1989, Anesthesiology (Hagerstown), V71, pA694, DOI 10.1097/00000542-198909001-00694
[8]   POSTOPERATIVE PAIN AFTER INGUINAL HERNIORRHAPHY WITH DIFFERENT TYPES OF ANESTHESIA [J].
TVERSKOY, M ;
COZACOV, C ;
AYACHE, M ;
BRADLEY, EL ;
KISSIN, I .
ANESTHESIA AND ANALGESIA, 1990, 70 (01) :29-35
[9]   THE PREVENTION OF POSTOPERATIVE PAIN [J].
WALL, PD .
PAIN, 1988, 33 (03) :289-290
[10]   EVIDENCE FOR A CENTRAL COMPONENT OF POST-INJURY PAIN HYPERSENSITIVITY [J].
WOOLF, CJ .
NATURE, 1983, 306 (5944) :686-688