Keywords
Lidocaine
Tonsillectomy
Postoperative pain
Intraoperative bleeding
Submitted : 2024-02-23
Accepted : 2024-03-09
Published : 2024-03-24
Abstract
Objective: To explore the effects of local injection of epinephrine and lidocaine on postoperative pain and bleeding in children undergoing tonsillectomy. Methods: Sixty-eight children who underwent a tonsillectomy in our hospital from March 2019 to October 2020 were selected. The children were randomly divided into two groups of 34 cases each. The observation group received local anesthetic injections of lidocaine and the control group received local anesthetic injections of epinephrine. The postoperative pain, operation time, blood pressure changes, and intraoperative blood loss of the two groups of children were observed and analyzed. Results: The postoperative pain, operation time, and intraoperative blood loss scores of the children in the observation group were 4.36 ± 0.69, 0.36 ± 0.09, and 39.36 ± 1.78 respectively, which were significantly better than those of the children in the control group (P < 0.05) at 5.36 ± 0.77, 0.79 ± 0.05, and 45.36 ± 1.56, respectively. The systolic blood pressure and diastolic blood pressure of the observation group 3 minutes before surgery and 180 minutes after surgery were no different from those of the control group (P > 0.05). Conclusion: Local injection of epinephrine and lidocaine effectively relieved postoperative pain and reduced bleeding in children undergoing tonsillectomy as compared to epinephrine alone.
References
Li J, Wu F, Lu X, 2024, Analysis of the Efficacy and Postoperative Analgesic Effect of Lidocaine Infiltration Combined with Tonsillectomy and Adenoidectomy in Children with Sleep Apnea Syndrome. China Maternal and Child Health Care, 39(1): 66–69.
Li Y, Li A, Han Z, et al., 2023, Analysis of Risk Factors and Prediction Model Construction of Secondary Bleeding in Children after Tonsillectomy. Chinese Journal of Otolaryngology-Head and Neck Surgery, 30(8): 519–523.
Ma N, 2023, Effect of Intravenous Infusion of Lidocaine Combined with Dexamethasone on Postoperative Analgesia and Incidence of Vomiting in Children Undergoing Tonsillectomy, Dissertation, China Medical University.
Dong X, Yang R, 2020, Effect of Lidocaine Infusion on Perioperative Propofol Dosage and Postoperative Adverse Events in Children Undergoing Tonsillectomy. Shaanxi Medical Journal, 49(6): 741–744.
Li L, 2019, Analysis of the Effect of Oxycodone Hydrochloride on Postoperative Analgesia in Children Undergoing Tonsillectomy. Clinical Medicine, 39(1): 45–47.
Xiao Y, 2018, Effect of Intranasal Dexmedetomidine Instillation on Epinephrine Application in Pediatric Tonsil Surgery, dissertation, University of South China.
Wang M, Xie L, 2017, Clinical Effects of Injecting Tramadol at Different Times for Analgesia in Children Undergoing Tonsillectomy. Contemporary Medical Review, 15(18): 100–101.
Liang H, 2016, Effect of Lidocaine Topical Anesthesia on Analgesia and Stress Response after Tonsillectomy In Children. Chinese Pediatrics of Integrated Traditional Chinese and Western Medicine, 8(3): 332–335.
Wang S, 2015, Clinical Observation on Local Anesthesia without Epinephrine Before Tonsillectomy. Jilin Medicine, 36(9): 1765.
Chen Y, Li Y, Deng T, 2014, Effects of Local Injection of Epinephrine and Bupivacaine on Pain and Bleeding after Tonsillectomy. Chinese Pharmacoeconomics, 9(9): 35–36.