Does preincisional injection of levobupivacaine with epinephrine have any benefits for children undergoing tonsillectomy? An intraindividual evaluation

Objective: To evaluate the effects of peritonsillar injection of levobupivacaine with epinephrine in children undergoing adenotonsillectomy, through an intraindividual study. Patients and methods: 20 children (age 6-13 years) undergoing elective tonsillectomy with or without adenoidectomy were enrolled in this prospective, randomized, intraindividual trial. After entubation and just prior to incision, 3. ml of 0.25% levobupivacaine with epinephrine was injected into one peritonsillar region while 0.9% saline was being used for the contralateral side. Amount of intraoperative blood loss, duration of tonsillectomy, postoperative pain, otalgia and hemorrhage were assessed for each side separately. Visual analog scale was used for postoperative pain assessment. Heart rate and mean arterial pressure during and after operation were also observed. The follow-up period after surgery was 10 days. Results: Median visual analog scale values for the levobupivacaine with epinephrine injected side was significantly lower than the saline injected side, during the first postoperative 16. h (p< 0.05). There were also significant differences between the intraoperative blood losses of the two sides (p< 0.05). However; no significant differences were observed with respect to duration of surgery, postoperative otalgia and hemorrhage (p> 0.05). Conclusion: Preincisional injection of levobupivacaine with epinephrine decreases early postoperative pain and intraoperative blood loss as well. © 2010 Elsevier Ireland Ltd.

Yazar Tas E.
Hanci V.
Ugur M.B.
Turan I.O.
Yigit V.B.
Cinar F.
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/5174
Tek Biçim Adres 10.1016/j.ijporl.2010.07.007
Konu Başlıkları Epinephrine
Intraindividual
Levobupivacaine
Local anesthetic
Postoperative pain
Tonsillectomy
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
Scopus İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı International Journal of Pediatric Otorhinolaryngology
Dergi Cilt Bilgisi 74
Dergi Sayısı 10
Sayfalar 1171 - 1175
Yayın Yılı 2010
Eser Adı
[dc.title]
Does preincisional injection of levobupivacaine with epinephrine have any benefits for children undergoing tonsillectomy? An intraindividual evaluation
Yazar
[dc.contributor.author]
Tas E.
Yazar
[dc.contributor.author]
Hanci V.
Yazar
[dc.contributor.author]
Ugur M.B.
Yazar
[dc.contributor.author]
Turan I.O.
Yazar
[dc.contributor.author]
Yigit V.B.
Yazar
[dc.contributor.author]
Cinar F.
Yayın Yılı
[dc.date.issued]
2010
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Objective: To evaluate the effects of peritonsillar injection of levobupivacaine with epinephrine in children undergoing adenotonsillectomy, through an intraindividual study. Patients and methods: 20 children (age 6-13 years) undergoing elective tonsillectomy with or without adenoidectomy were enrolled in this prospective, randomized, intraindividual trial. After entubation and just prior to incision, 3. ml of 0.25% levobupivacaine with epinephrine was injected into one peritonsillar region while 0.9% saline was being used for the contralateral side. Amount of intraoperative blood loss, duration of tonsillectomy, postoperative pain, otalgia and hemorrhage were assessed for each side separately. Visual analog scale was used for postoperative pain assessment. Heart rate and mean arterial pressure during and after operation were also observed. The follow-up period after surgery was 10 days. Results: Median visual analog scale values for the levobupivacaine with epinephrine injected side was significantly lower than the saline injected side, during the first postoperative 16. h (p< 0.05). There were also significant differences between the intraoperative blood losses of the two sides (p< 0.05). However; no significant differences were observed with respect to duration of surgery, postoperative otalgia and hemorrhage (p> 0.05). Conclusion: Preincisional injection of levobupivacaine with epinephrine decreases early postoperative pain and intraoperative blood loss as well. © 2010 Elsevier Ireland Ltd.
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Epinephrine
Konu Başlıkları
[dc.subject]
Intraindividual
Konu Başlıkları
[dc.subject]
Levobupivacaine
Konu Başlıkları
[dc.subject]
Local anesthetic
Konu Başlıkları
[dc.subject]
Postoperative pain
Konu Başlıkları
[dc.subject]
Tonsillectomy
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
0165-5876
İlk Sayfa Sayısı
[dc.identifier.startpage]
1171
Son Sayfa Sayısı
[dc.identifier.endpage]
1175
Dergi Adı
[dc.relation.journal]
International Journal of Pediatric Otorhinolaryngology
Dergi Sayısı
[dc.identifier.issue]
10
Dergi Cilt Bilgisi
[dc.identifier.volume]
74
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1016/j.ijporl.2010.07.007
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/5174
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
31
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
17 Nisan 2024 15:03
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postoperative levobupivacaine epinephrine injected intraoperative saline significant surgery differences otalgia hemorrhage observed analog duration during injection intraindividual undergoing tonsillectomy children peritonsillar follow-up Elsevier Preincisional Ireland operation period decreases between Conclusion pressure However losses significantly respect
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