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Clinical Challenges in Otolaryngology |

Injection of Local Anesthetic in Tonsillectomy

Laurie A. Ohlms, MD
Arch Otolaryngol Head Neck Surg. 2001;127(10):1276-1278. doi:10.1001/archotol.127.10.1276.
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Jebeles  JAReilly  JSGutierrez  JFBradley Jr  ELKissin  I Tonsillectomy and adenoidectomy pain reduction by local bupivacaine infiltration in children. Int J Pediatr Otorhinolaryngol.1993;25:149-154.
Molliex  SHaond  PBaylot  D  et al Effect of pre- vs postoperative tonsillar infiltration with local anesthetics on postoperative pain after tonsillectomy. Acta Anaesthesiol Scand.1996;40:1210-1215.
Broadman  LMPatel  RIFeldman  BASellman  GLMilmoe  GCamilon  F The effects of peritonsillar infiltration on the reduction of intraoperative blood loss and post-tonsillectomy pain in children. Laryngoscope.1989;99:578-581.
Jebeles  JAReilly  JSGutierrez  JFBradley  ELKissin  I The effect of pre-incisional infiltration of tonsils with bupivacaine on the pain following tonsillectomy under general anesthesia. Pain.1991;47:305-308.
Goldsher  MPodoshin  LFradis  M  et al Effects of peritonsillar infiltration on post-tonsillectomy pain: a double-blind study. Ann Otol Rhinol Laryngol.1996;105:868-870.
Stuart  JCMacGregor  FBCairns  CSChandrachud  HR Peritonsillar infiltration with bupivacaine for paediatric tonsillectomy. Anaesth Intensive Care.1994;22:679-682.
Hollis  LJBurton  MJMillar  JM Perioperative local anaesthesia for reducing pain following tonsillectomy. Cochrane Database Syst Rev.2000;2:CD001874.
Bean-Lijewski  JD Glossopharyngeal nerve block for pain relief after pediatric tonsillectomy: retrospective analysis and two cases of life-threatening upper airway obstruction from an interrupted trial. Anesth Analg.1997;84:1232-1238.
Tajima  KSato  SMiyabe  M A case of acute pulmonary edema and bulbar paralysis after local epinephrine infiltration. J Clin Anesth.1997;9:236-238.
Fradis  MGoldsher  MBen David  JPodoshin  L Life-threatening deep cervical abscess after infiltration of the tonsillar bed for tonsillectomy. Ear Nose Throat J.1998;77:418-421.
Alsarraf  RSie  KCY Brain stem stroke associated with bupivacaine injection for adenotonsillectomy. Otolaryngol Head Neck Surg.2000;122:572-573.
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