Effect of Xylocaine 4% Solution on Patient's Anxiety with Nasal Packing After Septoplasty

  • Raza Muhammad Gajju Khan Medical College Swabi
  • Asif Kamal Gajju Khan Medical College Sawabi
  • Fazal-i-Wahid LRH Peshawar
  • Aftab Ahmad Tarand KTH Peshawar
  • Johar Iqbal LRH Peshawar
  • Arshad Abbass Gajju Khan Medical College Sawabi

Abstract

Background: Removal of nasal pack after septoplasty causes pain and anxiety in patients. Xylocaine 4% solution used as topical anesthetic reduces pain and anxiety if infiltrated postoperatively into nasal packing. Objective: To evaluate the effect of xylocaine 4% solution on patient's anxiety infiltrated in to nasal pack after septoplasty. Material and Methods: This prospective case control study conducted at the ENT and Psychiatry departments of Gajju Khan Medical College (GKMC) Swabi from June 2019 to December 2019. A total of 100 patients who underwent septoplasty with bilateral antibiotic ointment soaked nasal packing were randomly divided in to two groups, A & B. Xylocaine 4% solution (5ml in each nostril) was infiltrated into nasal pack in 50 patients in group A while group B including 50 patients were infiltrated with liquid paraffin (5ml in each nostril) fifteen minutes before nasal pack removal.  Results: A total of 100 patients were included with age ranging from 18 to 40 years with a mean age of 25.2 years with male predominance. Hamilton anxiety scale scores in Xylocaine group were11.81+3.47, 15.05+2.99 and 10.6+3.51 at 24 hrs before surgery, 24hrs after surgery and 20 minutes after pack removal while 10.4+4.34, 14.21+4.13 and 12.6+4.54 were in the liquid paraffin group which suggests that anxiety was less in the xylocaine group at 20 minutes after pack removal.  Conclusion:  There was significant reduction in pain and anxiety after infiltration of xylocaine 4% solution into nasal pack post septoplasty. KEY WORDS: Xylocaine, Anxiety, Septoplasty

Author Biographies

Asif Kamal, Gajju Khan Medical College Sawabi
department of Psychiatry Associate Professor Gajju khan medical college swabi
Fazal-i-Wahid, LRH Peshawar
Department of ENT Assistant Professor LRH Peshawar
Aftab Ahmad Tarand, KTH Peshawar
department of ENT Assistant Professor KTH Peshawar
Johar Iqbal, LRH Peshawar
department of ENT Assistant Professor LRH peshawar
Arshad Abbass, Gajju Khan Medical College Sawabi
department of ENT Assistant professor Gajju Khan medical college swabi
Published
2022-03-12
How to Cite
1.
Raza Muhammad, Asif Kamal, Fazal-i-Wahid, Aftab Ahmad Tarand, Johar Iqbal, Arshad Abbass. Effect of Xylocaine 4% Solution on Patient’s Anxiety with Nasal Packing After Septoplasty. J Saidu Med Coll Swat [Internet]. 2022Mar.12 [cited 2022May27];12(1):16-8. Available from: http://jsmc.pk/index.php/jsmc/article/view/525