The effect of adding ketamine to bupivacaine in greater palatine nerve block in platoplasty
المؤلفون المشاركون
al-Fawi, Dalya M.
Salim, Yasir A.
Jirjis, Nifin
المصدر
Ain Shams Journal of Anesthesiology
العدد
المجلد 8، العدد 1 (31 مارس/آذار 2015)، ص ص. 134-139، 6ص.
الناشر
جامعة عين شمس كلية الطب قسم التخدير
تاريخ النشر
2015-03-31
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الموضوعات
الملخص EN
Background Greater palatine nerve block anesthetizes the posterior part of the hard palate and its overlying soft tissue.
It is performed for pain relief in children undergoing cleft palate surgery.
This study was conducted to compare the effi cacy and the duration of this block using the local anesthetic bupivacaine 0.25 % alone with that of ketamine 0.5 mg / kg plus bupivacaine 0.25 %.
Patients and methods After institutional ethical committee approval and parental consent were obtained, 40 ASA I, II children aged 1–6 years undergoing palatoplasty were enrolled in this prospective randomized double-blind study.
A standardized technique of general anesthesia was used, and then patients were classifi ed into two groups: in group B (n = 20), the greater palatine nerve block was performed using 0.5 ml bupivacaine 0.25% alone; and in group K (n = 20), the block was performed using ketamine 0.5 mg/kg added to bupivacaine 0.25 %.
The heart rate, the systolic blood pressure, the pain score, the time to rescue analgesics, and the total amount of analgesics used in 24 h were assessed.
Results Group KB had a signifi cantly longer time to fi rst rescue analgesia (8.62 ± 0.5 vs.
4.25 ± 1.1 h) and signifi cantly lower doses of rectal diclofenac (0, 0, 0 vs.
0, 0, 12.5 mg) than group B.
The Children’s Hospital Eastern Ontario Pain Scale pain scale was signifi cantly lower in group BK than in group B (P < 0.05) at 4, 8, 12, 18, and 24 h postoperatively.
There was a signifi cant difference between the groups in dysphagia to solid and sleep disturbance at 6 and 12 h.
Conclusion Addition of ketamine to bupivacaine in greater palatine nerve block increased the quality and the duration of analgesia, and also decreased the total dose of postoperative analgesic requirement in children undergoing cleft palate repair surgery.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
al-Fawi, Dalya M.& Jirjis, Nifin& Salim, Yasir A.. 2015. The effect of adding ketamine to bupivacaine in greater palatine nerve block in platoplasty. Ain Shams Journal of Anesthesiology،Vol. 8, no. 1, pp.134-139.
https://search.emarefa.net/detail/BIM-650965
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
al-Fawi, Dalya M.…[et al.]. The effect of adding ketamine to bupivacaine in greater palatine nerve block in platoplasty. Ain Shams Journal of Anesthesiology Vol. 8, no. 1 (Jan. / Mar. 2015), pp.134-139.
https://search.emarefa.net/detail/BIM-650965
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
al-Fawi, Dalya M.& Jirjis, Nifin& Salim, Yasir A.. The effect of adding ketamine to bupivacaine in greater palatine nerve block in platoplasty. Ain Shams Journal of Anesthesiology. 2015. Vol. 8, no. 1, pp.134-139.
https://search.emarefa.net/detail/BIM-650965
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 138-139
رقم السجل
BIM-650965
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر