The effect of adding ketamine to bupivacaine in greater palatine nerve block in platoplasty
Joint Authors
al-Fawi, Dalya M.
Salim, Yasir A.
Jirjis, Nifin
Source
Ain Shams Journal of Anesthesiology
Issue
Vol. 8, Issue 1 (31 Mar. 2015), pp.134-139, 6 p.
Publisher
Ain Shams University Faculty of Medicine Department of Anesthesiology
Publication Date
2015-03-31
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Topics
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 138-139
Record ID
BIM-650965