Peripheral Nerve Block Techniques During Cleft Palate

Cairo University (CU)

Status: Unknown

Conditions: Postoperative Pain

Treatments: Procedure: peripheral nerve block by 0.25% levobupivacaine

Study type: Interventional

Funder types: Other

Identifiers

NCT04467463

N-98-2019

Details and patient eligibility

About

Regional blocks are commonly used in pediatric anesthesia to achieve adequate postoperative analgesia. Suprazygomatic Maxillary nerve block (SMN) and Greater Palatine nerve block (GPN) are regional blocks described for use during cleft palate (CP) repair surgery.The aim of this study was to compare the analgesic effect as well as the incidence of complications associated with the use of bilateral GPN and bilateral SMN blocks in children undergoing palatoplasty surgery.

Enrollment: 40 estimated patients

Sex: All

Ages: 6 months to 5 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• ASA I-III scheduled to undergo palatoplasty

Exclusion criteria

• bleeding disorders,
• skin lesions or wounds at site of proposed needle insertion,
• congenital heart disease,
• respiratory or
• cardiovascular disorders,
• children scheduled for combined procedures like palatoplasty with cheiloplasty or submucosal alveolar bone grafting,
• known hypersensitivity to local anesthetics or opioids and
• lack of parental consent.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

GPN

Experimental group

Description:

administrated bilateral greater palatine nerve block using levobupivacaine 0.25%

Treatment:

Procedure: peripheral nerve block by 0.25% levobupivacaine

SMN

Experimental group

Description:

administrated bilateral suprazygomatic nerve block using levobupivacaine 0.25%.

Treatment:

Procedure: peripheral nerve block by 0.25% levobupivacaine