지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.71 No.2
- 발행연도
- 2018.1
- 수록면
- 135 - 140 (6page)
이용수
초록· 키워드
오류제보하기
Background: Cleft lip and palate are common major congenital anomalies. Cleft palate (CP) repair causes pain and needs large doses of intravenous opioids. The risk of postoperative airway obstruction or respiratory depression is high, requiring continuous and vigilant monitoring. The primary outcome was to evaluate the efficacy of using different local anesthetics during bilateral maxillary nerve block (MNB) with general anesthesia on quality of recovery after primary CP repair. We hypothesized that levobupivacaine would be better than bupivacaine. Also, to investigate the potency of bilateral MNB in improving quality of postoperative analgesia. Methods: Sixty children undergoing primary CP repair surgery were enrolled in the study. Combined general anesthesia and regional bilateral MNB were used for all patients. Group L (n = 30): children received 0.15 ml/kg of 0.2% levobupivacaine, while in Group B (n = 30): children received 0.15 ml/kg of 0.2% bupivacaine. Results: Face, Legs, Activity, Cry, and Consolability pain score readings were 0 score in 7 cases of the Group L and 10 cases of Group B, 1 score in 14 cases of the Group L and 12 cases of Group B, and 2 score in 9 cases of the Group L and 8 cases of Group B. We found no statistically significant difference between the two study groups as regarding pain score or serious complications. Conclusions: Levobupivacaine is as effective and safe as bupivacaine to be used for MNB block with a lower incidence of complications. Bilateral suprazygomatic MNB is an effective, easy, and safe method for pain relief in children undergoing primary cleft palate repair surgeries.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Spritz RA / 2001 / The genetics and epigenetics of orofacial clefts / Curr Opin Pediatr 13:556~560
Grollemund B / 2010 / The impact of cleft lip and palate on the parent-child relationships / Arch Pediatr 17:1380~1385
Henriksson TG / 2001 / Identification of children at high anaesthetic risk at the time of primary palatoplasty / Scand J Plast Reconstr Surg Hand Surg 35:177~182
Gaonkar V / 2004 / Comparison of preoperative infraorbital block with peri-incisional infiltration for postoperative pain relief in cleft lip surgeries / Indian J Plastic Surg 37:105~109
Chiono J / 2014 / Bilateral suprazygomatic maxillary nerve block for cleft palate repair in children: a prospective, randomized, double-blind study versus placebo / Anesthesiology 120:1362~1369
Grollemund B / 2010 / The impact of cleft lip and palate on the parent-child relationships / Arch Pediatr 17:1380~1385
Henriksson TG / 2001 / Identification of children at high anaesthetic risk at the time of primary palatoplasty / Scand J Plast Reconstr Surg Hand Surg 35:177~182
Gaonkar V / 2004 / Comparison of preoperative infraorbital block with peri-incisional infiltration for postoperative pain relief in cleft lip surgeries / Indian J Plastic Surg 37:105~109
Chiono J / 2014 / Bilateral suprazygomatic maxillary nerve block for cleft palate repair in children: a prospective, randomized, double-blind study versus placebo / Anesthesiology 120:1362~1369
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