Burak Mustafa TAŞ, Burak ERDEN, Gökçe ŞİMŞEK

Pediatrik popülasyonda peritonsiller prilokain infiltrasyonunun tonsillektomi sonrası ağrıya etkisi

Amaç: Bu çalışma, peritonsiller prilokainin tonsillektomi sonrası ağrıda etkinliğini Vizüel Analog Skala (VAS) kullanarak değerlendirmeyi amaçlamaktadır. Gereç ve Yöntem: Bu çalışmaya toplam 40 pediatrik hasta dahil edildi. Prilokain grubunda (Grup 1) 20, kontrol grubunda (Grup 2) 20 hasta vardı. Grup 1'de peritonsiller prilokain infiltrasyonu yapıldı. Grup 2'de peritonsiller salin infiltrasyonu yapıldı. Postoperatif 1., 4., 12. ve 24. saatlerde ve 2., 3., 4., 5., 6. ve 7. günlerde VAS skorları değerlendirildi. Ek olarak, bulantı ve kusma varlığı ve ilk 24 saatte uygulanan intravenöz parasetamolün ek doz sayısı değerlendirildi. Bulgular: Gruplar karşılaştırıldığında prilokain grubunda 1., 4. ve 12. saatlerde kontrol grubuna göre tonsillektomi sonrası ağrıda anlamlı azalma gözlendi. Diğer puanlarda iki grup arasında anlamlı bir fark yoktu. Bulantı kusma ve parasetamol tüketimi açısından gruplar arasında anlamlı fark yoktu. Sonuç: Çalışmamızda peritonsiller prilokain infiltrasyonunun postoperatif 1., 4. ve 12. saatlerde tonsillektomi sonrası ağrıda etkili olduğunu buldukBu nedenle, peritonsiller prilokain infiltrasyonunun hızlı ve etkili olması nedeniyle tonsillektomi sonrası ağrıda kullanılabileceğini düşünüyoruz.

Anahtar Kelimeler:

Peritonsiller infiltrasyon, Post-tonsillektomi ağrı, Prilokain, Tonsillektomi, Vizüel Analog Skala

Effect of peritonsillar prilocaine infiltration on post-tonsillectomy pain in pediatric population

Purpose: This study aims to evaluate the efficacy of peritonsillar prilocaine in post-tonsillectomy pain by using the Visual Analog Scale (VAS). Materials and Methods: A total of 40 pediatric patients were included in this study. There were 20 patients in the prilocaine group (Group 1) and 20 patients in the control group (Group 2). In Group 1, peritonsillar prilocaine infiltration was performed. In Group 2, peritonsillar saline infiltration was performed. VAS scores of at the postoperative 1st, 4th, 12th and 24th hours and on the 2nd, 3rd, 4th, 5th, 6th and 7th days were evaluated. In addition, the presence of nausea and vomiting and the number of additional doses of intravenous paracetamol administered in the first 24 hours were evaluated. Results: When the groups were compared, a significant reduction in post-tonsillectomy pain was observed in the prilocaine group at the 1st, 4th and 12th hours compared to the control group. There was no significant difference between the two groups in other scores. There was no significant difference between the groups for nausea and vomiting and consumption of paracetamol values. Conclusion: Peritonsillar prilocaine infiltration was effective in post-tonsillectomy pain at the 1st, 4th and 12th hours postoperatively. Thus, peritonsillar prilocaine infiltration can be used in post-tonsillectomy pain because it is fast and effective.

Keywords:

Peritonsillar infiltration, Post-tonsillectomy pain, Prilocaine, Tonsillectomy, Visual Analog Scale,

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