Postoperative Pain Management Clinical Trial
Official title:
Comparative Study Between Pre-emptive Trans-cutaneous Versus Trans-oral Ultrasound Guided Peritonsillar Space Infiltration With Bupivacaine During Elective Tonsillectomy
Ultrasound as a technique is safe, readily available, quick and portable allowing more
accuracy of different regional blocks and local infiltration. It allows imaging of the mouth,
oropharynx, infrahyoid structures, larynx, vocal cords, and trachea. Recently, ultrasound has
been shown to improve accuracy in ultrasound guided block with local anesthetic infiltration.
The objective of our study is to compare the effect of pre-emptive trans-oral ultrasound
guided peritonsillar infiltration versus trans-cutaneous ultrasound (US) guided peritonsillar
infiltration with bupivacaine for post-tonsillectomy analgesia, on surgical field, and
surgeon satisfaction(intra-operative reactionary bleeding).
Materials and Methods: the patients will be admitted for tonsillectomy at ENT department of
the Al- Azhar university hospitals. The patients' ages between 3 to 15 years. Patients will
be divided into Cutaneous group: patients will be submitted to Trans-cutaneous ultrasound
guided peritonsillar infiltration with bupivacaine, and Oral group: patients will be
submitted to Trans-oral ultrasound guided peritonsillar infiltration with bupivacaine.
n/a
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