title: Topical bupivacaine in paediatric day-case tonsillectomy: a prospective randomized controlled trial.
abstract: Post-operative pain and delayed oral intake are common reasons for failure of discharge in day-case tonsillectomy. A double blind prospective randomized study was devised to investigate the effectiveness of topical bupivacaine in reducing post-operative pain in paediatric day-case tonsillectomy. Ninety-nine patients aged between three and 16 years were recruited into the study. One group received bupivacaine soaked swabs tightly packed in their tonsillar fossae while the control group received saline-soaked swabs. The bupivacaine group was found to drink (p < 0.001) and eat (p = 0.006) earlier than the control group. The pain scores at one (p < 0.001), three (p < 0.001) and six (p < 0.001) hours post-operatively were also found to be lower in the bupivacaine group than the control group. We conclude that topical bupivacaine has a role in facilitating recovery in day-case tonsillectomy in children.
authors.affiliation: Department of Otolaryngology, St George's Hospital, London, UK. HTerryhung@aol.com
authors.forename: T
authors.initials: T
authors.lastname: Hung
authors.forename: V
authors.initials: V
authors.lastname: Moore-Gillon
authors.forename: J
authors.initials: J
authors.lastname: Hern
authors.forename: A
authors.initials: A
authors.lastname: Hinton
authors.forename: N
authors.initials: N
authors.lastname: Patel
mesh_terms: D000293:Adolescent; D000556:Ambulatory Surgical Procedures; D000779:Anesthetics, Local / Q000008:administration & dosage*; D002045:Bupivacaine / Q000008:administration & dosage*; D002648:Child; D002675:Child, Preschool; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D010147:Pain Measurement / Q000379:methods; D010149:Postoperative Pain / Q000517:prevention & control*; D011446:Prospective Studies; D014068:Tonsillectomy / Q000379:methods*
chemical_list: D000779:Anesthetics, Local; D002045:Bupivacaine