International Journal of Health and Clinical Research

Yazarlar: Bachula Lavanya, Khaliq Ahmed MD, Madhavi Gandhay, P.V. Shiva

Konular:-

Anahtar Kelimeler:Glossopharyngeal nerve block,Levo,Upivacaine,Paracetamol

Özet: Introduction: The tonsillectomy is one of the most common ambulatory surgical procedures done on children. The most common cause of morbidity following tonsillectomy is postoperative discomfort.Aims: To investigate the effects of a Glossopharyngeal nerve block on postoperative pain management in Tonsillectomy patients under general anesthesia.Materials and methods: The research included 50 individuals who were undergoing elective tonsillectomy surgery. They were split into two groups of 25 people each. The Glossopharyngeal Nerve was blocked with 0.25 percent Levo-bupivacaine in Group A, while Paracetamol was administered intravenously in Group B. Hemodynamics were measured during the intraoperative period, recovery period, and postoperative period using a 10cm VAS and monitoring the MAP, PR, and pulse rate at 0, 2, 4, and 6 intervals.Results: In terms of patient characteristics, operation type, and anesthetic duration, there were no statistically significant differences between the groups. During the intraoperative, recovery, and early postoperative periods, Glossopharyngeal nerve block with 0.25 percent Levobupivacaine provides greater analgesia than Paracetamol IV. Hemodynamic stability was seen in both groups. Paracetamol i.v. had a greater rate of increase in pulse rate and MAP in the intraoperative and early postoperative phase than Glossopharyngeal nerve block with 0.25 percent Levobupivacaine.Conclusion: Because of its high analgesic quality and antipyretic action, paracetamol administered every 6th hourly parenterally can be utilized for intraoperative and postoperative analgesia (mild to moderate pain).

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