Comparative Study of Preoperative Biateral Infraorbital Nerve Block with Peri Inscisional Infiltration for Post Operative Pain Relief in Cleft Lip Surgery
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2017, Vol 4, Issue 2
Abstract
Background: Post operative pain relief is an integral part of anaesthetic management especially when it comes to pediatric patients where it requires special attention. Aim: to study two different techniques – peri inscisional infiltration with bilateral infra orbital nerve block for post operative pain relief in case of cleft lip repair surgery done in pediatric patients below two years of age for pain relief in post operat period Material and Methods: Sixty patients of either sex were randomly divided in two equal groups with comparable age and weight with duration of surgery lasting around 75 to 90 minutes – one to receive Inj. Bupivacaine 0.25% 1 ml for infraorbital nerve block each side and other for peri inscisional infiltration with Inj Bupivacaine 0.25% 2 ml. After premedication with anticholinergics, general anaesthesia was given with Inj. Ketamine and relaxant Inj. Suxamethonium as per body weight. And bilateral infra orbital nerve block and peri inscisional infiltration was done after intubation. The patients were monitored for vitals, pain relief using Objective Pain Score (Hanallah’s) for pain free period post operatively at the interval of 2, 4, 6, 8, 10, 14, 24 hours. Results: The basic vital. parameters were comparable in both groups and were well within normal range per and post operatively. Hanallah’s paediatric objective pain score [6]at the interval of 2, 4, 6, 8, 10, 14, 24 hours post operatively showed that the average pain relief in infraorbital nerve block group was around 23.12±2.21 hours as compared to 16.33±1.73 hours in the peri inscisional group. The use of rescue analgesia was also earlier in the peri inscisional group. Conclusion: Both techniques are effective in providing good pre emptive and post operative analgesia but bilateral infra orbital nerve block provides a better relief for longer duration avoiding the use of early rescue analgesia.
Authors and Affiliations
Madia Kashmira A.
Keywords
Related Articles
- EP ID EP466177
- DOI 10.21088/ijaa.2349.8471.42(pt-II)17.8
- Views 96
- Downloads 0
A Study to Compare the Effects of Low Dose Intrathecal Fentanyl and Low Dose Intrathecal Tramadol Combined with 0.5% Bupivacaine (Heavy) in Patients Undergoing Orthopaedic Surgeries
Introduction: Relief of pain during operation and postoperative period is one of the main stay of balanced anaesthesia. Bupivacaine Hydrochloride is known for long procedures due to prolonged action. The addition of opio...
Comparative Study of the Effect of Dexmedetomidine v/s Fentanyl on Intraoperative Hemodynamic Response in Robot Assisted Lower Abdominal Onco-Surgeries in Steep Trendlenburg Position
Introduction: Carbon dioxide insufflation for pneumoperitoneum causes increase plasma levels of catecholamines and vasopressin which leads to hemodynamic disturbances. These effects are exaggerated by the Trendelenburg p...
Comparing the Postoperative Analgesic Effect of Subcostal Transverse Abdominis Plane Block and Intraperitoneal Installation using Ropivacaine in Laparoscopic Cholecystectomy Patients
Background: Laparoscopic cholecystectomy is one of the most common ambulatory elective procedures. Surgical pain derives significantly from the incisions made in the anterior abdominal wall. Nerve supplying the anterior...
Efficacy of Adding Midazolam to Bupivacaine in Supraclavicular Technique of Brachial Plexus Block for Upper Limb Surgeries
Background: Brachial plexus blocks provide a wonderful alternative to general anaesthesia for upper limb surgeries. Various adjuvants like opioids, midazolam and 2 agonists have been used to improve the quality of block...
Dexmedetomidine for Awake Bronchoscopy: Our Experience
Background: Respiratory physicians are showing interest in using Dexmedetomidine for awake sedation, since, it is safe and useful when the patient is having spontaneous breathing and also cost-effective. We evaluated th...