Bilateral Infraorbital Nerve Block Versus Intravenous Pentazocine: A Comparative Study on Post-operative Pain Relief Following Cleft Lip Surgery
Background and Objectives: Infra orbital nerve block is utilized for postoperative pain control in children undergoing cleft lip repair. This study was conducted to compare the effectiveness, advantages and disadvantages of infra orbital nerve block and opioids for postoperative pain relief foll...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2015-05-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/5984/11953_CE[Ra_Ash]_F(P)_PF1(PAK)_PFA(AK)_PF2(AGAK).pdf |
| _version_ | 1831740439438295040 |
|---|---|
| author | Gurpreeti Grewal Kamakshi Garg Anju Grewal |
| author_facet | Gurpreeti Grewal Kamakshi Garg Anju Grewal |
| author_sort | Gurpreeti Grewal |
| collection | DOAJ |
| description | Background and Objectives: Infra orbital nerve block is utilized
for postoperative pain control in children undergoing cleft lip
repair. This study was conducted to compare the effectiveness,
advantages and disadvantages of infra orbital nerve block and
opioids for postoperative pain relief following cheiloplasty.
Materials and Methods: Sixty paediatric patients aged 3
months – 13 years undergoing cheiloplasty were selected by
simple random sampling and were divided into two groups.
All the children received standardized premedication with
midazolam, were operated upon under general anaesthesia and
the block was performed at the end of surgery before reversal.
Group B patients were administered bilateral infra orbital nerve
block with 0.25% Bupivacaine (upto 2 mg/kg). Group O patients
received Pentazocine 0.5 mg / kg IV. Postoperatively, the heart
rate and respiratory rates were recorded every 15 minutes for
the first 60 minutes, half hourly till 4 hours and then at 12 and 24
hours. Behavioural assessment for pain / discomfort was done at
intervals of ½, 1, 2, 3, 4, 12 and 24 hours. Need for supplementary
analgesics and duration between the administration of block/
opioid and the first dose of supplementary analgesics were
noted. Side effects such as nausea and vomiting, pruritus,
respiratory depression and bradycardia during each of these
periods were noted.
Results: Both the groups were comparable for age, sex, weight
and operative time with no statistical difference. The mean
duration of analgesia for infra orbital nerve block was 357.5
minutes i.e. 5 hours 58 minutes and that for opioid was 231
minutes i.e. 3 hours 51 minutes which was significantly lower
than the hours of analgesia provided by the block. Further,
at the 4th hour, 76.6% of the patients in Group O required
supplementary analgesics, in contrast to only 16.6% in Group
B. The incidence of nausea and vomiting and pruritus was also
higher in Group O.
Conclusion: The results indicate that bilateral infra orbital nerve
block provides effective analgesia in the postoperative period,
lasting for 6 hours in comparison to 3½ - 4 hours following
the administration of intravenous Pentazocine, with no major
untoward effects. |
| first_indexed | 2024-12-21T13:57:35Z |
| format | Article |
| id | doaj.art-7cba289ec81640b2996db43d7484614b |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-21T13:57:35Z |
| publishDate | 2015-05-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-7cba289ec81640b2996db43d7484614b2022-12-21T19:01:29ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-05-0195UC04UC0610.7860/JCDR/2015/11953.5984Bilateral Infraorbital Nerve Block Versus Intravenous Pentazocine: A Comparative Study on Post-operative Pain Relief Following Cleft Lip SurgeryGurpreeti Grewal0Kamakshi Garg1Anju Grewal2Assistant Professor, Department of Anaesthesia, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.Assistant Professor, Department of Anaesthesia, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.Professor, Department of Anaesthesia, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.Background and Objectives: Infra orbital nerve block is utilized for postoperative pain control in children undergoing cleft lip repair. This study was conducted to compare the effectiveness, advantages and disadvantages of infra orbital nerve block and opioids for postoperative pain relief following cheiloplasty. Materials and Methods: Sixty paediatric patients aged 3 months – 13 years undergoing cheiloplasty were selected by simple random sampling and were divided into two groups. All the children received standardized premedication with midazolam, were operated upon under general anaesthesia and the block was performed at the end of surgery before reversal. Group B patients were administered bilateral infra orbital nerve block with 0.25% Bupivacaine (upto 2 mg/kg). Group O patients received Pentazocine 0.5 mg / kg IV. Postoperatively, the heart rate and respiratory rates were recorded every 15 minutes for the first 60 minutes, half hourly till 4 hours and then at 12 and 24 hours. Behavioural assessment for pain / discomfort was done at intervals of ½, 1, 2, 3, 4, 12 and 24 hours. Need for supplementary analgesics and duration between the administration of block/ opioid and the first dose of supplementary analgesics were noted. Side effects such as nausea and vomiting, pruritus, respiratory depression and bradycardia during each of these periods were noted. Results: Both the groups were comparable for age, sex, weight and operative time with no statistical difference. The mean duration of analgesia for infra orbital nerve block was 357.5 minutes i.e. 5 hours 58 minutes and that for opioid was 231 minutes i.e. 3 hours 51 minutes which was significantly lower than the hours of analgesia provided by the block. Further, at the 4th hour, 76.6% of the patients in Group O required supplementary analgesics, in contrast to only 16.6% in Group B. The incidence of nausea and vomiting and pruritus was also higher in Group O. Conclusion: The results indicate that bilateral infra orbital nerve block provides effective analgesia in the postoperative period, lasting for 6 hours in comparison to 3½ - 4 hours following the administration of intravenous Pentazocine, with no major untoward effects.https://jcdr.net/articles/PDF/5984/11953_CE[Ra_Ash]_F(P)_PF1(PAK)_PFA(AK)_PF2(AGAK).pdfbupivacainecheiloplastypostoperative analgesia |
| spellingShingle | Gurpreeti Grewal Kamakshi Garg Anju Grewal Bilateral Infraorbital Nerve Block Versus Intravenous Pentazocine: A Comparative Study on Post-operative Pain Relief Following Cleft Lip Surgery Journal of Clinical and Diagnostic Research bupivacaine cheiloplasty postoperative analgesia |
| title | Bilateral Infraorbital Nerve Block Versus Intravenous Pentazocine: A Comparative Study on Post-operative Pain Relief Following Cleft Lip Surgery |
| title_full | Bilateral Infraorbital Nerve Block Versus Intravenous Pentazocine: A Comparative Study on Post-operative Pain Relief Following Cleft Lip Surgery |
| title_fullStr | Bilateral Infraorbital Nerve Block Versus Intravenous Pentazocine: A Comparative Study on Post-operative Pain Relief Following Cleft Lip Surgery |
| title_full_unstemmed | Bilateral Infraorbital Nerve Block Versus Intravenous Pentazocine: A Comparative Study on Post-operative Pain Relief Following Cleft Lip Surgery |
| title_short | Bilateral Infraorbital Nerve Block Versus Intravenous Pentazocine: A Comparative Study on Post-operative Pain Relief Following Cleft Lip Surgery |
| title_sort | bilateral infraorbital nerve block versus intravenous pentazocine a comparative study on post operative pain relief following cleft lip surgery |
| topic | bupivacaine cheiloplasty postoperative analgesia |
| url | https://jcdr.net/articles/PDF/5984/11953_CE[Ra_Ash]_F(P)_PF1(PAK)_PFA(AK)_PF2(AGAK).pdf |
| work_keys_str_mv | AT gurpreetigrewal bilateralinfraorbitalnerveblockversusintravenouspentazocineacomparativestudyonpostoperativepainrelieffollowingcleftlipsurgery AT kamakshigarg bilateralinfraorbitalnerveblockversusintravenouspentazocineacomparativestudyonpostoperativepainrelieffollowingcleftlipsurgery AT anjugrewal bilateralinfraorbitalnerveblockversusintravenouspentazocineacomparativestudyonpostoperativepainrelieffollowingcleftlipsurgery |