@article{Najeebullah Khan, Mirza Khizar Hameed, Iftikhar Aslam, Irshad Ali, Amir Akbar, Nudrat Khalil_2021, title={Comparison of Peritonsillar Bupivacaine versus Peritonsillar Dexamethasone in Post-Tonsillectomy Pain Management}, volume={25}, url={http://www.journalrmc.com/index.php/JRMC/article/view/1562}, DOI={10.37939/jrmc.v25i2.1562}, abstractNote={<p><strong>Objective: </strong>To compare efficacy of Peritonsillar Dexamethasone with Peritonsillar Bupivacaine in managing post-tonsillectomy pain in children.</p> <p><strong>Study design: </strong>Randomized Controlled Trial</p> <p><strong>Setting & Period: </strong>ENT Department Fauji Foundation Hospital (FFH) Rawalpindi from 01-06-2019 to 31-11-2020.</p> <p><strong>Material &Methods: </strong>A total of sixty patients of both genders between ages of 5-15 years fulfilling the recognized criteria for tonsillectomy were selected. They were equally divided into two groups; Group A received peritonsillar Bupivacaine while Group B received peritonsillar Dexamethasone. Mean post-tonsillectomy Visual Analogue Score (VAS) at 1<sup>st</sup>, 2<sup>nd</sup> and 7<sup>th</sup> day were recorded in both groups and compared using independent sample ‘<em>t</em>’ test.</p> <p><strong>Results: </strong>In group A Mean post-tonsillectomy VAS at 24 hours was 6.73±1.44 SD while in group B it was 5.93±1.26 SD (<em>p</em>-value 0.025). Mean post-tonsillectomy VAS at 48 hours was 5.60±1.25 SD and 4.37±1.03 SD (<em>p</em>-value 0.000) respectively in groups A and B. At 7<sup>th</sup> post operative day, Mean VAS was noted as 3.27±0.74 SD and 2.30±0.79 SD (<em>p</em>-value 0.000) respectively in group A and B. </p> <p><strong>Conclusion: </strong>Peritonsillar Dexamethasone is more effective than peritonsillar Bupivacaine in controlling post-tonsillectomy pain in children. Statistically significant difference was noted for mean post-tonsillectomy VAS at 1<sup>st</sup>, 2<sup>nd</sup> and 7<sup>th</sup> day.</p> <p><strong>Key Words: </strong>Tonsillectomy, visual analogue score, postoperative pain, dexamethasone, bupivacaine.</p>}, number={2}, journal={Journal of Rawalpindi Medical College}, author={Najeebullah Khan, Mirza Khizar Hameed, Iftikhar Aslam, Irshad Ali, Amir Akbar, Nudrat Khalil}, year={2021}, month={Jun.} }