Comparison of preoperative infraorbital block with peri-incisional infiltration for postoperative pain relief in cleft lip surgeries

In this prospective, randomized study, children undergoing cleft lip surgery were either given infra-orbital nerve block (n=25) or peri-incisional infiltration (n=25) pre-operatively with 0.25% bupivacaine in 1:2,00,000 adrenaline. The overall course of anesthesia in both the groups was s...

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Main Authors: Gaonkar V, Daftary Swati
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2004-01-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.ijps.org/article.asp?issn=0970-0358;year=2004;volume=37;issue=2;spage=105;epage=109;aulast=Gaonkar
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author Gaonkar V
Daftary Swati
author_facet Gaonkar V
Daftary Swati
author_sort Gaonkar V
collection DOAJ
description In this prospective, randomized study, children undergoing cleft lip surgery were either given infra-orbital nerve block (n=25) or peri-incisional infiltration (n=25) pre-operatively with 0.25% bupivacaine in 1:2,00,000 adrenaline. The overall course of anesthesia in both the groups was smooth, with excellent hemodynamic stability, indicating better pain relief during the intra-operative period. The concentration of the anesthetic agent required was reduced and recovery from anesthesia was rapid and complete. There was excellent postoperative analgesia. The children were calm and comfortable postoperatively. We conclude that infra-orbital nerve block with 0.25% bupivacaine with adrenaline provides more prolonged analgesia than peri-incisional infiltration in cleft lip repair. Infra-orbital block given by modified approach is easy to perform and free of side-effects.
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spelling doaj-art-85756a02a21f461bb5cb772e37f113d42025-08-20T01:58:33ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03582004-01-01372105109Comparison of preoperative infraorbital block with peri-incisional infiltration for postoperative pain relief in cleft lip surgeriesGaonkar VDaftary SwatiIn this prospective, randomized study, children undergoing cleft lip surgery were either given infra-orbital nerve block (n=25) or peri-incisional infiltration (n=25) pre-operatively with 0.25% bupivacaine in 1:2,00,000 adrenaline. The overall course of anesthesia in both the groups was smooth, with excellent hemodynamic stability, indicating better pain relief during the intra-operative period. The concentration of the anesthetic agent required was reduced and recovery from anesthesia was rapid and complete. There was excellent postoperative analgesia. The children were calm and comfortable postoperatively. We conclude that infra-orbital nerve block with 0.25% bupivacaine with adrenaline provides more prolonged analgesia than peri-incisional infiltration in cleft lip repair. Infra-orbital block given by modified approach is easy to perform and free of side-effects.http://www.ijps.org/article.asp?issn=0970-0358;year=2004;volume=37;issue=2;spage=105;epage=109;aulast=GaonkarSurgery: Cleft lip; Pain relief: Infraorbital blockperi-incisional infiltration
spellingShingle Gaonkar V
Daftary Swati
Comparison of preoperative infraorbital block with peri-incisional infiltration for postoperative pain relief in cleft lip surgeries
Indian Journal of Plastic Surgery
Surgery: Cleft lip; Pain relief: Infraorbital block
peri-incisional infiltration
title Comparison of preoperative infraorbital block with peri-incisional infiltration for postoperative pain relief in cleft lip surgeries
title_full Comparison of preoperative infraorbital block with peri-incisional infiltration for postoperative pain relief in cleft lip surgeries
title_fullStr Comparison of preoperative infraorbital block with peri-incisional infiltration for postoperative pain relief in cleft lip surgeries
title_full_unstemmed Comparison of preoperative infraorbital block with peri-incisional infiltration for postoperative pain relief in cleft lip surgeries
title_short Comparison of preoperative infraorbital block with peri-incisional infiltration for postoperative pain relief in cleft lip surgeries
title_sort comparison of preoperative infraorbital block with peri incisional infiltration for postoperative pain relief in cleft lip surgeries
topic Surgery: Cleft lip; Pain relief: Infraorbital block
peri-incisional infiltration
url http://www.ijps.org/article.asp?issn=0970-0358;year=2004;volume=37;issue=2;spage=105;epage=109;aulast=Gaonkar
work_keys_str_mv AT gaonkarv comparisonofpreoperativeinfraorbitalblockwithperiincisionalinfiltrationforpostoperativepainreliefincleftlipsurgeries
AT daftaryswati comparisonofpreoperativeinfraorbitalblockwithperiincisionalinfiltrationforpostoperativepainreliefincleftlipsurgeries