Journal of Isfahan Medical School

Journal of Isfahan Medical School

Comparison of the Efficacy of Bilateral Infraorbital Nerve Block Using Local Marcaine and Pethidine with Local Marcaine and Intravenous Pethidine

Document Type : Original Article (s)

Authors
Hamid Hajigholam-Saryazdi 1
Omid Aghadavoudi 1
Amir Shafa 2
Amin Soltani-Hafshejani 3
1 Associate Professor, Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Assistant Professor, Department of Anesthesiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
3 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Background: Cleft lip is one of the most common congenital anomalies in the world. There has been recently a considerable increase in use of local methods. In this regard, opioids are the common adjuvants but their safety and efficacy have not been studied extensively in children undergoing cleft lip repair. Therefore, we aimed to investigate the efficacy of local pethidine in comparison with intravenous pethidine in patients undergoing bilateral infraorbital nerve block.Methods: In this prospective, randomized, double-blind study, 40 children undergoing cleft lip repair allocated randomly to two groups. Group 1 received infraorbital injection of Marcaine and pethidine; and group 2 received infraorbital injection of Marcaine and intravenous pethidine. Statistical analysis was performed using SPSS software.Findings: The mean pain score was 5.15 ± 1.87 and 5.85 ± 2.10 in groups 1 and 2, respectively (P = 0.21). There was no significant difference in postoperative analgesic requirements between the groups (P > 0.05). There were no major complications in both groups.Conclusion: There was no significant differences between addition of pethidine to Marcaine and intravenous injection of pethidine in terms of postoperative pain score, duration of hospitalization, and postoperative analgesic requirements. Although no major complications were found, intravenous injection of pethidine is not suggested for cleft lip repair in children.
Keywords
Nerve block
Pediatric
Anesthesia
Cleft lip
Postoperative pain
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Journal of Isfahan Medical School
Volume 35, Issue 444 - Serial Number 444
July and August 2017
Pages 1107-1112

  • Receive Date 09 June 2017
  • Accept Date 06 April 2022