Premium
A comparison of bilateral infraorbital nerve block with intravenous fentanyl for analgesia following cleft lip repair in children
Author(s) -
RAJAMANI ARVIND,
KAMAT VIJAYLAKSHMI,
RAJAVEL VARDARAJA PONNAMBALAM,
MURTHY JYOTSNA,
HUSSAIN SYED ALTAF
Publication year - 2007
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.2006.02032.x
Subject(s) - medicine , fentanyl , anesthesia , saline , bupivacaine , group b , surgery , infraorbital nerve
Summary Background: The efficacy of analgesia with bilateral infraorbital nerve block and intravenous (i.v.) fentanyl were compared for cleft lip surgery in children. Methods: Eighty‐two children aged 3 months to 10 years undergoing cleft lip repair were prospectively randomized to one of two groups: bilateral infraorbital nerve block (Group B), or i.v. fentanyl (Group F). Group B ( n = 41) received bilateral infraorbital injection of 1 ml 0.25% bupivacaine and 2 ml i.v. saline as control. Group F ( n = 41) received 2 μ g·kg −1 i.v. fentanyl, and bilateral infraorbital injection of 1 ml saline as control. Pain was evaluated by the incidence of tachycardia, hypertension, and/or modified pain score ≥4. The time to awakening, time to first cry and time to feeding were noted. Results: Thirty four children (82.9%) in Group B had adequate analgesia compared with 15 (36.6%) in Group F ( P < 0.0001, RR of failure 0.27 for Group B). Group B had a mean time to awakening of 5.65 ± 2.52 min (Group F: 9.37 ± 4.50 min; P < 0.0001), time to first cry 32.14 ± 18.22 min (Group F: 28.00 ± 16.27 min; P = 0.3), time to feed 62.05 ± 20.06 min (Group F: 72.44 ± 17.72; P = 0.015), and pain score 2.81 ± 1.38 (Group F: 4.71 ± 1.89; P < 0.0001). There were no major complications. Conclusions: Bilateral infraorbital block is superior to fentanyl in terms of analgesia, and time to awakening and feeding.