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Comparison of peritonsillar infiltration of tramadol and lidocaine for the relief of post-tonsillectomy pain

Published online by Cambridge University Press:  19 September 2012

M H Heiba ,
A Atef ,
M Mosleh ,
R Mohamed  and
M El-Hamamsy
M H Heiba
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Cairo University, Egypt
A Atef*
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Cairo University, Egypt
M Mosleh
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Cairo University, Egypt
R Mohamed
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Cairo University, Egypt
M El-Hamamsy
Affiliation:
Department of Anesthesia, Faculty of Medicine, El-Fayoum University, Egypt
*
Address for correspondence: Dr A Atef, 7 Mahmoud Afifi St, Almaza, Cairo, Egypt 11341 E-mail: amratef@dr.com
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Abstract

Background:

Several studies have reported the use of peritonsillar infiltrations of local anaesthetics and/or locally active analgesic drugs for the relief of post-tonsillectomy pain, with variable results in terms of quality and duration of analgesia. We aimed to compare the effects of peritonsillar infiltration of lidocaine versus tramadol versus placebo on post-tonsillectomy pain.

Methods:

Sixty patients over the age of 10 years undergoing bilateral elective tonsillectomy under general anaesthesia were randomised into three groups. The first group received peritonsillar infiltration of tramadol, the second 2 per cent lidocaine and the third normal saline. In all groups, peritonsillar infiltration was carried out after tonsillectomy but prior to tracheal extubation. Post-operative comparisons were made to assess the quality of pain control and the patients' analgesic requirements.

Results:

Peritonsillar infiltration of tramadol provided an analgesic effect comparable to that of lidocaine in the first 6 hours post-operation, as reflected by visual analogue scale pain scores and opioid requirements, which were lower compared with the placebo group.

Conclusion:

Peritonsillar infiltration of tramadol provided pain control in the first 6 hours post-tonsillectomy which was comparable to that of lidocaine.

Keywords

TonsillectomyPostoperative PainLidocaineTramadol
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 11 , November 2012 , pp. 1138 - 1141
Copyright
Copyright © JLO (1984) Limited 2012

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