J Otolaryngol Head N
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J Otolaryngol Head N · Dec 2008
Randomized Controlled TrialHigh-dose ropivacaine versus bupivacaine for posttonsillectomy pain relief in adults.
To compare the efficacy and safety of preincisional high-dose ropivacaine with bupivacaine in relieving posttonsillectomy pain. ⋯ Preincisional infiltration of the tonsils with high-dose ropivacaine markedly decreased the intensity of pain after tonsillectomy when compared with bupivacaine or placebo, especially until postoperative day 4 in adults.
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J Otolaryngol Head N · Dec 2008
Review Meta AnalysisMeta-analysis: prophylactic drainage and bleeding complications in thyroid surgery.
To conduct a comprehensive systematic review and high-quality meta-analysis to determine whether prophylactic drain placement reduces adverse bleeding events in thyroid surgery. ⋯ The literature has insufficient evidence to recommend routine drainage in thyroid surgery. It is possible that drains may increase the risk of reoperation for bleeding, although the data are not statistically significant. If there is a benefit to drainage, absolute risk reductions of bleeding outcomes may not warrant routine use.
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J Otolaryngol Head N · Dec 2008
Randomized Controlled TrialPostoperative pain management with ketorolac in facial plastic surgery patients.
To evaluate the benefit of intraoperative locally or intramuscularly injected ketorolac in combination with local anesthetic versus local anesthetic alone on postoperative pain in patients undergoing facial plastic surgery. ⋯ Intraoperative locally injected ketorolac is an effective and safe means of reducing postoperative analgesic requirements.