Glossopharyngeal Nerve Block on Post Tonsillectomy Pain Among Egyptian Children

Tonsillectomy is one of the most common performed surgical procedure in children. Tonsillectomy or adenotonsillectomy have high incidence of Post operative pain incidence . There is still debate about the optimal analgesia for this common procedure , different methods have been described including intraoperative anesthetic pain regimens , adjustment of surgical technique , intraoperative local anesthetic injection and use of pharmacotherapy post operative .

The main goal of the preventive analgesia is the pain releif with minimum side effect . The objective of this study is to investigate and compare the effect of Glossopharyngeal nerve block for relief of pain on children following adenotonsillectomy .

This is prospective , double blinded , randomized study

Inclusion criteria

• average weight is 10_50 kg
• patient is generally stable
• indication of tonsillectomy is recurrent tonsillitis
• Ability to self report pain

Exclusion criteria

• Hypersensitivity to bupivacaine
• Obstructive sleep apnea syndrome
• Pulmonary or cardic diseases