<p>To study the efficacy of Ropivacaine as local infiltrative agent in tonsillectomy. It is a randomised controlled trial, single blinded study done at tertiary care hospital among 60 patients undergoing tonsillectomy. By simple randomization, patients were divided into two groups in group A infiltration of 0.5% ropivacaine will be given in peritonsillar space and in group B it will not be given. Intraoperative bleed, post operative pain, analgesia requirement and occurrence of haemorrhage were assessed. Data was analyzed statistically and evaluated. Among 60 participants, patients who were infiltrated with 0.5% ropivacaine had statistically significant reduction in intraoperative bleeding and postoperative pain comparatively with prolongation of time interval to analgesia requirement postoperatively. There was no significant result with postoperative haemorrhage incidence among both groups. Peritonsillar infiltration of 0.5% ropivacaine was associated with reduced intraoperative blood loss, lower postoperative pain scores, and prolonged duration before first analgesic requirement following tonsillectomy. Thus, appears to be effective adjunctive local anaesthetic in tonsillectomy.</p>

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Efficacy of Ropivacaine as a Local Infiltrative Drug on Tonsillectomy Haemorrhage—A Randomised Controlled Trial

  • Sulekha Naresh,
  • Selvarajan Gopal,
  • Sivaranjani Marimuthu,
  • P. M. Raghuraman

摘要

To study the efficacy of Ropivacaine as local infiltrative agent in tonsillectomy. It is a randomised controlled trial, single blinded study done at tertiary care hospital among 60 patients undergoing tonsillectomy. By simple randomization, patients were divided into two groups in group A infiltration of 0.5% ropivacaine will be given in peritonsillar space and in group B it will not be given. Intraoperative bleed, post operative pain, analgesia requirement and occurrence of haemorrhage were assessed. Data was analyzed statistically and evaluated. Among 60 participants, patients who were infiltrated with 0.5% ropivacaine had statistically significant reduction in intraoperative bleeding and postoperative pain comparatively with prolongation of time interval to analgesia requirement postoperatively. There was no significant result with postoperative haemorrhage incidence among both groups. Peritonsillar infiltration of 0.5% ropivacaine was associated with reduced intraoperative blood loss, lower postoperative pain scores, and prolonged duration before first analgesic requirement following tonsillectomy. Thus, appears to be effective adjunctive local anaesthetic in tonsillectomy.