Comparison between peritonsillar infiltration of ketamine or bupivacaine for post-tonsillectomy analgesia | ||
| Ain-Shams Journal of Anesthesiology | ||
| Volume 17, Issue 1, January 2025, Pages 1-6 PDF (301.57 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asja.2025.329153.1171 | ||
| Authors | ||
| Bahaa Mohammed Refaie* 1; Marwa Ahmad Mahrous1; Mohamed Elrabie Abdallah2; Mohamed Abdallah Abozeid2; Ibrahim Rezk Mohamed2; Fouad Ibraheem Soliman1 | ||
| 1Department of Anesthesia and Intensive Care, Faculty of Medicine, Sohag University, Egypt. | ||
| 2Department of ENT Surgery, Faculty of Medicine, Sohag University, Egypt. | ||
| Abstract | ||
| Background: Managing post-tonsillectomy pain is crucial for promoting oral intake and hydration while minimizing irritability and discomfort, which can increase the risk of postoperative bleeding. Objectives: To compare the efficacy of pre-incisional peri-tonsillar infiltration of bupivacaine vs. ketamine in achieving postoperative analgesia following tonsillectomy or adenotonsillectomy. Methods: Eighty patients aged 3 to 17 years, scheduled for tonsillectomy or adenotonsillectomy, were divided into two equal groups based on the agent used for pre-incisional peritonsillar infiltration to attain postoperative analgesia. In group B, patients received 5 ml of bupivacaine 0.5%, while group K received infiltration with ketamine at a dose of 0.5 mg/kg. Results: There was no significant difference between the two groups concerning the modified objective pain scale (MOPS) (P value 0.475) or total analgesic consumption during the first 12 hours postoperatively (P > 0.05). Additionally, no significant difference was noted in the modified Aldrete score between the two groups (P value 0.534); however, a significant reduction in the Wilson sedation score was observed in the ketamine group (P value 0.006). The occurrence of postoperative complications did not significantly differ between the groups (P > 0.05). Conclusion: Pre-incisional peri-tonsillar infiltration of either bupivacaine or ketamine can be safely and effectively used to manage post-tonsillectomy pain, demonstrating nearly equal effects on post-anesthesia recovery time and total postoperative analgesic consumption. | ||
| Keywords | ||
| Ketamine; Bupivacaine; Analgesia; Tonsillectomy | ||
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