Bilateral Infraorbital Nerve Block Versus Intravenous XXXX : A Comparative Study on Post-operative @entity158 Relief Following Cleft Lip Surgery.

@entity1 @entity12586 @entity390 @entity1168 @entity391 @entity1337 @entity3384 @entity2694 @entity1341 @entity111 @entity1576 @entity158 @entity282 @entity1363
BACKGROUND AND OBJECTIVES: Infra orbital nerve block is utilized for @entity282 control in @entity1 undergoing @entity3384 repair. This study was conducted to compare the effectiveness, @entity2694 and opioids for @entity282 relief following cheiloplasty. MATERIALS AND METHODS: Sixty paediatric @entity1 aged 3 months - 13 years undergoing cheiloplasty were selected by simple random sampling and were divided into two groups. All the @entity1 received standardized premedication with @entity1363 , were operated upon under general anaesthesia and the block was performed at the end of surgery before reversal. Group B @entity1 were administered bilateral infra orbital nerve block with 0.25% @entity1341 (upto 2 mg/kg). Group O @entity1 received @entity12586 0.5 mg / kg IV. Postoperatively, the heart rate and respiratory rates were recorded every 15 minutes for the first 60 minutes, half hourly till 4 hours and then at 12 and 24 hours. Behavioural assessment for @entity158 / discomfort was done at intervals of   , 1, 2, 3, 4, 12 and 24 hours. Need for supplementary analgesics and duration between the administration of block/opioid and the first dose of supplementary analgesics were noted. Side effects such as @entity390 and @entity391 , @entity111 , @entity1576 and @entity1168 during each of these periods were noted. RESULTS: Both the groups were comparable for age, sex, weight and operative time with no statistical difference. The mean duration of @entity1337 for infra orbital nerve block was 357.5 minutes i.e. 5 hours 58 minutes and that for opioid was 231 minutes i.e. 3 hours 51 minutes which was significantly lower than the hours of @entity1337 provided by the block. Further, at the 4th hour, 76.6% of the @entity1 in Group O required supplementary analgesics, in contrast to only 16.6% in Group B. The incidence of @entity390 and @entity391 and @entity111 was also higher in Group O. CONCLUSION: The results indicate that bilateral infra orbital nerve block provides effective @entity1337 in the postoperative period, lasting for 6 hours in comparison to 3   - 4 hours following the administration of intravenous @entity12586 , with no major untoward effects.
