TY  - JOUR
AU  - Anokwute Iheanyi Ihunanya
AU  - Okonkwo Chinedu Joseph
AU  - Onuwdiwe Regina Ugochi
AU  - Iwueze Obinna John
AU  - Ekezie Ekene Maduka
AU  - Ajaero Ikechukwu Moses
TI  - The analgesic effect of plain bupivacaine infiltration in the management of postoperative pain following adenotonsillectomy: A comparative randomized study
JO  - Journal of Scientific Innovations in Anesthesiology
PY  - 2026
VL  - 1
IS  - 2
SP  - 32
EP  - 37
DO  - 10.65929/JSIA.2026.1.2.001
SN  - 3139-3608
AB  - Background: Adenotonsillectomy, a common surgery performed by otorhinolaryngologists worldwide, has postoperative pain as its commonest complication in children, which has remained an unresolved burden. Several modalities have been employed for postoperative analgesia with limitations. The study aimed to assess the analgesic effect of plain bupivacaine infiltration after adenotonsillectomy in children. Materials and Methods: Ethical approval was obtained from the institution's Health Research and Ethics Committee. Eligible patients were randomized into group B (n=15) to receive plain bupivacaine infiltration and group P (n=15) to receive normal saline infiltration respectively. Pain scores and duration of analgesia were assessed and recorded. Data was collected and assessed using SPSS 21 for Windows. Numerical data was analyzed using unpaired Student t-test, while categorical data was analyzed using chi-squared test. A p-value < 0.05 was considered significant. Result: The pain scores were significantly lower in group B compared with group P. While all the patients received rescue analgesia at the 6th hour of the infiltration in group P, only one patient received rescue analgesia at the same time. More than 90% of the patients in group B did not receive rescue analgesia during the study period. The duration of analgesia was significantly (p=0.000) longer in group B compared to group P. Conclusion: Plain bupivacaine infiltration showed better analgesic profile with respect to lower pain scores, lower total analgesic consumption, and longer duration of analgesia when used for postoperative adenotonsillectomy pain relief in children. Keywords: Postoperative analgesia, Plain bupivacaine infiltration, Adenotonsillectomy, Children.
UR  - https://jsiajournal.org/volume/1/issue/2/article/the-analgesic-effect-of-plain-bupivacaine-infiltration-in-the-management-of-postoperative-pain-following-adenotonsillect
ER  -