Bilateral suprazygomatic maxillary nerve block versus palatal block for cleft palate repair in children: A randomized controlled trial
Background and objectives: Airway obstruction and respiratory compromise are frequently encountered complications of cleft palate (CP) repair. We compared the analgesic efficacy of bilateral suprazygomatic maxillary nerve block (SMB) versus palatal block (PB) in pediatric patients undergoing CP repa...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2018-07-01
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| Series: | Egyptian Journal of Anaesthesia |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S111018491830028X |
| _version_ | 1811270616817336320 |
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| author | Mohamed M. Abu Elyazed Shaimaa F. Mostafa |
| author_facet | Mohamed M. Abu Elyazed Shaimaa F. Mostafa |
| author_sort | Mohamed M. Abu Elyazed |
| collection | DOAJ |
| description | Background and objectives: Airway obstruction and respiratory compromise are frequently encountered complications of cleft palate (CP) repair. We compared the analgesic efficacy of bilateral suprazygomatic maxillary nerve block (SMB) versus palatal block (PB) in pediatric patients undergoing CP repair. Methods: 90 patients aged 3–24 months were allocated into three groups: Control group (C): patients received general anesthesia only. Maxillary block group (M): patients received ultrasound-guided bilateral SMB using 0.15 ml/kg bupivacaine 0.25%. Palatal block group (P): 0.5 ml bupivacaine 0.25% was injected bilaterally at greater, lesser and nasopalatine foraminae. CHIPPS score, rescue analgesic consumption and time till tolerance of oral feed were assessed. Results: On admission to PACU till 8 h postoperative, CHIPPS score was lower in M and P groups compared to C group. At 6 h and 8 h, CHIPPS score was lower in M group compared to P group. Postoperative rescue analgesic consumption was decreased in M and P groups (0.72 ± 2.22 mg) and (3.73 ± 5.92 mg) compared to C group (8.07 ± 5.47 mg) with significantly lower values in M group compared to P group. Time to first request of rescue analgesia was significantly prolonged in M and P groups (482.50 ± 38.62 min) and (260.00 ± 31.62 min) compared to C group (79.71 ± 30.34 min). Time to feed was lower in M and P groups compared to C group. Conclusion: Ultrasound-guided bilateral SMB provided better postoperative analgesia and decreased rescue analgesic consumption and time to tolerate oral feeding compared to PB without increased side effects. Keywords: Cleft palate, Maxillary, Postoperative pain |
| first_indexed | 2024-04-12T22:05:18Z |
| format | Article |
| id | doaj.art-7ec2bef20fd84fbe8e8ba03eaf3f29ee |
| institution | Directory Open Access Journal |
| issn | 1110-1849 |
| language | English |
| last_indexed | 2024-04-12T22:05:18Z |
| publishDate | 2018-07-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Egyptian Journal of Anaesthesia |
| spelling | doaj.art-7ec2bef20fd84fbe8e8ba03eaf3f29ee2022-12-22T03:14:57ZengTaylor & Francis GroupEgyptian Journal of Anaesthesia1110-18492018-07-013438388Bilateral suprazygomatic maxillary nerve block versus palatal block for cleft palate repair in children: A randomized controlled trialMohamed M. Abu Elyazed0Shaimaa F. Mostafa1Department of Anesthesia and Surgical ICU, Faculty of Medicine, Tanta University, EgyptCorresponding author at Moheb Street, Almahalla Alkobra, Egypt.; Department of Anesthesia and Surgical ICU, Faculty of Medicine, Tanta University, EgyptBackground and objectives: Airway obstruction and respiratory compromise are frequently encountered complications of cleft palate (CP) repair. We compared the analgesic efficacy of bilateral suprazygomatic maxillary nerve block (SMB) versus palatal block (PB) in pediatric patients undergoing CP repair. Methods: 90 patients aged 3–24 months were allocated into three groups: Control group (C): patients received general anesthesia only. Maxillary block group (M): patients received ultrasound-guided bilateral SMB using 0.15 ml/kg bupivacaine 0.25%. Palatal block group (P): 0.5 ml bupivacaine 0.25% was injected bilaterally at greater, lesser and nasopalatine foraminae. CHIPPS score, rescue analgesic consumption and time till tolerance of oral feed were assessed. Results: On admission to PACU till 8 h postoperative, CHIPPS score was lower in M and P groups compared to C group. At 6 h and 8 h, CHIPPS score was lower in M group compared to P group. Postoperative rescue analgesic consumption was decreased in M and P groups (0.72 ± 2.22 mg) and (3.73 ± 5.92 mg) compared to C group (8.07 ± 5.47 mg) with significantly lower values in M group compared to P group. Time to first request of rescue analgesia was significantly prolonged in M and P groups (482.50 ± 38.62 min) and (260.00 ± 31.62 min) compared to C group (79.71 ± 30.34 min). Time to feed was lower in M and P groups compared to C group. Conclusion: Ultrasound-guided bilateral SMB provided better postoperative analgesia and decreased rescue analgesic consumption and time to tolerate oral feeding compared to PB without increased side effects. Keywords: Cleft palate, Maxillary, Postoperative painhttp://www.sciencedirect.com/science/article/pii/S111018491830028X |
| spellingShingle | Mohamed M. Abu Elyazed Shaimaa F. Mostafa Bilateral suprazygomatic maxillary nerve block versus palatal block for cleft palate repair in children: A randomized controlled trial Egyptian Journal of Anaesthesia |
| title | Bilateral suprazygomatic maxillary nerve block versus palatal block for cleft palate repair in children: A randomized controlled trial |
| title_full | Bilateral suprazygomatic maxillary nerve block versus palatal block for cleft palate repair in children: A randomized controlled trial |
| title_fullStr | Bilateral suprazygomatic maxillary nerve block versus palatal block for cleft palate repair in children: A randomized controlled trial |
| title_full_unstemmed | Bilateral suprazygomatic maxillary nerve block versus palatal block for cleft palate repair in children: A randomized controlled trial |
| title_short | Bilateral suprazygomatic maxillary nerve block versus palatal block for cleft palate repair in children: A randomized controlled trial |
| title_sort | bilateral suprazygomatic maxillary nerve block versus palatal block for cleft palate repair in children a randomized controlled trial |
| url | http://www.sciencedirect.com/science/article/pii/S111018491830028X |
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