title: Lignocaine as a topical analgesia for post-operative nasal pack removal: a prospective, randomized, double-blind, controlled trial.
abstract: The objective of this study was to assess the efficacy of topical lignocaine in reducing the pain of pack removal after nasal surgery. Fifty-eight patients with Merocel nasal packs in situ after nasal surgery were randomized to receive 10 ml of either 2 per cent lignocaine or 0.9 per cent saline on the packs 10 minutes prior to their removal and the pain experienced on their removal was recorded on a visual analogue scale. The median pain score was 3.4 in the lignocaine group and 2.9 in the saline group with no statistical evidence of a difference between the two groups. There was no statistical evidence of an association between the group and the operation performed, the use of intra-operative Moffat's solution or the use of post-operative oral analgesia. We conclude that lignocaine used in this way does not reduce the pain of pack removal after nasal surgery.
authors.affiliation: Department of Otolaryngology, Edith Cavell Hospital, Peterborough, UK.
authors.forename: V S P
authors.initials: VS
authors.lastname: Durvasula
authors.forename: C
authors.initials: C
authors.lastname: Brewis
authors.forename: F
authors.initials: F
authors.lastname: Syeda
authors.forename: P
authors.initials: P
authors.lastname: Leong
mesh_terms: D000287:Administration, Topical; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000779:Anesthetics, Local / Q000008:administration & dosage*; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage*; D008297:Male; D008875:Middle Aged; D009666:Nose / Q000601:surgery*; D010147:Pain Measurement / Q000379:methods; D010149:Postoperative Pain / Q000188:drug therapy; D011182:Postoperative Care / Q000379:methods*; D011446:Prospective Studies; D013630:Tampons, Surgical
chemical_list: D000779:Anesthetics, Local; D008012:Lidocaine