Opioid Sparing in Cleft Palate Surgery

Carr, Logan; Gray, Mary C.; Morrow, Brad T.; Brgoch, Morgan; Mackay, Donald R.; Samson, Thomas D.

doi:10.1177/1055665618764516

Cited by 14 publications

(25 citation statements)

References 11 publications

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“…The use of anesthetics that provide stability and intra-and postoperative analgesia is recommended, reducing doses of transoperative opioids, and with a lower risk of respiratory depression in the postanesthetic care, dexmedetomidine and ketamine are indicated [28,29].…”

Section: Transanesthetic Managementmentioning

confidence: 99%

“…Postoperative pain from cleft lip and palate surgery is considered acute, superficial, somatic, and of significant intensity that causes irritability with vigorous crying [10,28,29]. The nerve branches involved depend on the type and location of the defect [10] a. Infiltration of local anesthetic at the surgical site.…”

Section: Pain Managementmentioning

confidence: 99%

“…The nerve branches involved depend on the type and location of the defect [10] a. Infiltration of local anesthetic at the surgical site. The use of long-acting bupivacaine-type AL calculated per kilogram of weight is suggested and consider the possible margin distortion when injected [11,29].…”

Section: Pain Managementmentioning

confidence: 99%

“…Nerve block. Age-related anatomical variants must be known, for example, the intraorbital stage is located very close to the eye [10,29]. For lip surgery, the intraorbital stage with 1-2 ml of 0.5% bupivacaine with 1:200,000 epinephrine and 0.25 mm on each side of 0.25% bupivacaine with epinephrine is suggested.…”

Section: Pain Managementmentioning

confidence: 99%

“…Opioids are the first option for transoperative analgesia since they favor mild emersion and extubation, reducing the possibility of crying and consequently of trauma and bleeding. Its main disadvantage is the risk of postoperative dose-dependent respiratory depression and undesirable effects such as dizziness, constipation, nausea, and vomiting [10,29].…”

Section: Pain Managementmentioning

confidence: 99%

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Anesthesia Considerations in the Perioperative of Patients with Lip and Palate Length

Peña¹,

Reyes²,

Beltran³

et al. 2020

Current Treatment of Cleft Lip and Palate

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There is a high risk of adverse events during anesthetic management in the pediatric population mainly in children under 1 year of age and with greater vulnerability: those undergoing head and neck surgery for involving airway, specifically patients who enter surgical correction of the lip and cleft palate. This pathology can be related in a high percentage to isolated malformations without integrating a specific syndrome or be part of the more than 500 associated craniofacial syndromes such as sequence Pierre Robin, Treacher Collins, and Goldenhar, among others; it is also associated in up to 10% with some heart disease. Factors that are determinants for anesthetic management have been identified in corrective surgery of the lip and cleft palate related to the patient's characteristics such as age and weight, his medical history or associated comorbidities, and the surgical technique. As it is the pathology with the highest incidence in facial malformations that requires surgical treatment, it is necessary to know the anesthetic management alternatives and establish criteria in the different stages of the perioperative period from preanesthetic assessment to postanesthetic care, in order to provide planned approach within the highest safety standards that reduce the risk of adverse events.

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Section: Transanesthetic Managementmentioning

confidence: 99%

Section: Pain Managementmentioning

confidence: 99%

Section: Pain Managementmentioning

confidence: 99%

Section: Pain Managementmentioning

confidence: 99%

Section: Pain Managementmentioning

confidence: 99%

See 3 more Smart Citations