Tonsillectomy - A Comparative Study of GA or LA
Background: Ethically it is our jurisdiction to decide upon the medical procedure we undertake after weighing the risk benefit ratio. Tonsillectomy is conventionally operated under general anesthesia but it has its own merits and demerits. The aim of the study was to analyse the better procedure.
Methods: Hundred patients were operated in the medical college over period of two years in HIMS Barabanki and Govt medical college Kannauj. Seventy patients were operated under general anesthesia and another thirty under local anesthesia.
Results: The total operation time, VAS, blood loss, complications, cost effectiveness, bed occupancy, patient turnover rate and patient satisfaction was better in surgical exercise done under local anesthesia when compared to general anesthesia.
Conclusions: Tonsillectomy done under local anesthesia definitely has an edge over the general anesthesia.
2. Bredenkamp JK, Abemayor E, Wackym PA, Ward PH. Tonsillectomy under local anesthesia: a safe and effective alternative. Am J Otolaryngol. 1990 Jan-Feb;11(1):18-22.
3. Kennedy KS, Strom CG. A comparison of postoperative bleeding incidence between general and local anesthesia tonsillectomies. Otolaryngol Head Neck Surg. 1990 Jun;102(6):654-7.
4. Tisch M, Bruder M, Maier H. [Risk of postoperative hemorrhage in tonsillectomy. A comparison between general anesthesia and local anesthesia]. HNO. 2002 Mar;50(3):230-2.
5. Anthony J. Maniglia, MD; Harold Kushner, MD; Laura Cozzi, MD. Adenotonsillectomy-A Safe Outpatient Procedure.Arch Otolaryngol Head Neck Surg 1989;115:92-94
6. Zoher Naza, Saleh Kanawati, Rania Al Khatib, Fouad Ziade et al. The effect of IV dexamethasone versus local anesthetic infiltration technique in postoperative nausea and vomiting after tonsillectomy in children: A randomized double-blind clinical trial. International journal of Pediatric Otorhinolaryngology, January 2017,Volume 92, Pages 21-26.
7. Mihan J. Javid , Mohammad Hajijafari , Asghar Hajipour , Jalil Makarem et al, Evaluation of a Low Dose Ketamine in Post Tonsillectomy Pain Relief: A Randomized Trial Comparing. Intravenous and Subcutaneous Ketamine in Pediatrics
Anesthesiology and Pain Medicine 2012;2(2):85-89.
8. Nilesh Raman Vasan, Scott Stevenson,Mark Ward. Preincisional Bupivacaine in Posttonsillectomy Pain Relief-A Randomized Prospective Study. Arch Otolaryngol Head Neck Surg. 2002;128(2):145-149.
9. Heiba MH1, Atef A, Mosleh M, Mohamed R, El-Hamamsy M. Comparison of peritonsillar infiltration of tramadol and lidocaine for the relief of post-tonsillectomy pain. J Laryngol Otol. 2012 Nov;126(11):1138-41.
10. Agren K1, Engquist S, Danneman A, Feychting B. Local versus general anaesthesia in tonsillectomy. Clin Otolaryngol Allied Sci. 1989 Apr;14(2):97-100.
11. Jose Granell, Pilar Gete, Miguel Villafruela, Caridad Bolan et al. Safety of outpatient tonsillectomy in children: A review of 6 years in a tertiary hospital experience. Otolaryngology-Head and Neck Surgery Volume 131 Number 4 page 384-7.
12. J. Grainger, N. Saravanappa. Local anaesthetic for post-tonsillectomy pain: a systematic review and meta-analysis. Clinical Otolaryngology, Volume 33, Issue 5 October 2008 Pages 411-419
13. Ruan, Xiulu; Salinas, Orlando J.; Kaye, Alan D. Peritonsillar morphine infiltration to prevent early postoperative pain after tonsillectomy. European Journal of Anaesthesiology: January 2017 - Volume 34 - Issue 1 - p 47-48