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Peritonsillar Infiltration with Tramadol or Bupivacaine for Relief of Post-Tonsillectomy Pain in Children: A Randomized Clinical Study

Year: 2025

Type: article

Study designs: Randomized Controlled Trial, Clinical Trial

Abstract: Background: Tonsillectomy, a routine paediatric procedure, is frequently accompanied by significant postoperative pain. Efficient pain control is essential to minimize morbidity. Peritonsillar infiltration of tramadol or bupivacaine may offer an effective localized analgesic alternative. Objective: To compare the analgesic efficacy and safety of tramadol and bupivacaine peritonsillar infiltration in children post-tonsillectomy. Methods: A randomized, double-blind, placebo-controlled study involving 90 children (aged 5–12 years) undergoing tonsillectomy was conducted. They were divided into: Group T: Tramadol 2 mg/kg (2 mL/tonsil) Group B: Bupivacaine 0.25% (2 mL/tonsil) Group C: Placebo (2 mL normal saline) Pain was assessed using the Wong-Baker FACES Pain Rating Scale at 1, 4, 8, 12, and 24 hours postoperatively. Secondary outcomes included time to first rescue analgesic and total analgesic consumption.

Source: Zenodo (CERN European Organization for Nuclear Research)

DOI: 10.5281/zenodo.18184375

Author: International Journal of Medical Science and Advanced Clinical Research (IJMACR)

Language: English

Topic: Anesthesia and Pain Management

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

OpenAlex ID: W7119493918

FWCI:

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