J Korean Pain Soc.  1997 May;10(1):54-57.

The Effect of Intravenous Nalbuphine for Treatment of Side Effects of Epidural Morphine

• Lim YG
• Kim DW
• Park YJ
• Gang YJ

Abstract

BACKGROUND
The tonsillar region is innervated by the sensory components of the glossopharyngeal nerve (IX) which communicates with certain part of cervical sympathetic ganglion. Some authors suggest stellate ganglion block (SGB) is effective for treatment of recurrent tonsillitis. The goal of this study was to evaluate the effect of SGB in controlling pain after tonsillectomy.
METHODS
Forty five patients, evaluated to ASA class 1 and 2, scheduled for tonsillectomy under general anesthesia were randomly assigned to 1 of 3 groups (group I: control; group II: SGB with 1% lidocaine 5 ml; group m: SGB with 2% lidocaine 2.5 ml plus 0.5% bupivacaine 2.5 ml), SGB was performed at the end of surgery. Postoperative pain was assessed with Numeric Rating Scale (NRS) NRS assessment was made 30, 60, 90 min, 2 h, 4 h, 24 h, 48 h after tonsillectomy.
RESULTS
Pain scores, after 30 min in group II, III and 60, 90 min in group III were significantly lower than group I (p<0.05).
CONCLUSIONS
We found SGB was effective in controlling pain after tonsillectomy but further studies are required needs to prolong duration of relief.

Keyword

Analgesia, pain, postoperative; Anesthetic technique, stellate ganglion block; Surgery, tonsillectomy

MeSH Terms

Anesthesia, General
Bupivacaine
Ganglia, Sympathetic
Glossopharyngeal Nerve
Humans
Lidocaine
Morphine*
Nalbuphine*
Pain, Postoperative
Palatine Tonsil
Stellate Ganglion
Tonsillectomy
Tonsillitis
Bupivacaine
Lidocaine
Morphine
Nalbuphine