Regional anesthesia in neonates with cleft lip and palate:
Retrospective study

J 2024

Regional anesthesia in neonates with cleft lip and palate: Retrospective study

RICHTROVÁ, Michaela, Olga KOŠKOVÁ, Martin JANKŮ, Tereza BÖNISCHOVÁ, Dominik FABIÁN et. al.

Základní údaje

Originální název

Regional anesthesia in neonates with cleft lip and palate: Retrospective study

Autoři

RICHTROVÁ, Michaela (203 Česká republika, garant, domácí), Olga KOŠKOVÁ (203 Česká republika, domácí), Martin JANKŮ (203 Česká republika, domácí), Tereza BÖNISCHOVÁ (203 Česká republika, domácí), Dominik FABIÁN (203 Česká republika, domácí) a Petr ŠTOURAČ (203 Česká republika, domácí)

Vydání

International journal of pediatric otorhinolaryngology, Clare, Elsevier, 2024, 0165-5876

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30223 Anaesthesiology

Stát vydavatele

Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 1.500 v roce 2022

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1016/j.ijporl.2024.111965

UT WoS

001240156800001

Klíčová slova anglicky

Cleft lip; Neonatal cleft lip surgery; Opioids in neonates; Infraorbital nerve block; Regional anesthesia

Štítky

14110229, 14110322, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 9. 7. 2024 13:28, Mgr. Tereza Miškechová

Anotace

V originále

Background: Orofacial clefts are the most common congenital abnormalities. Cleft lip reconstruction is performed mostly in 3 months of life including the neonatal period. The consumption of opioids during anesthesia is one of the monitored parameters of anesthesia safety. We investigated the effect of using an infraorbital nerve block for reducing opioid consumption during cleft lip surgery in neonates. Patients/methods: Overall, 100 patients who underwent primary cleft lip surgery in neonatal age between 2018 and 2021 were included in the study. The primary outcome was to compare opioid requirements during cleft lip surgery with and without using regional anesthesia. Secondary outcomes included a first oral intake from surgery between neonates with and without regional anesthesia and complications rate of infraorbital nerve block. Results: Data from 100 patients (46 patients with and 64 without regional anesthesia) were retrospectively analyzed and classified into two groups according to whether regional anesthesia during neonatal cleft lip surgery had been performed or not. The use of infraorbital block was found to be positively correlated with lower doses of opioids used during the general anesthesia for the surgery (mean 0.48 mu g/kg vs 0.29 mu g/kg, p < 0.05). The postoperative course was evaluated based on the interval from surgery to first oral intake which was statistically insignificant shorter (p = 0.16) in the group of patients using regional anesthesia. No complications were recorded in the group of patients with regional anesthesia. Conclusions: Regional anesthesia is associated with reduced opioid consumption during anesthesia thereby increasing the safety of anesthesia in neonates.

Návaznosti

MUNI/A/1109/2022, interní kód MU

Název: Hloubka anestezie: prospektivní observační studie

Investor: Masarykova univerzita, Hloubka anestezie: prospektivní observační studie

NU23-06-00301, projekt VaV

Název: Využití moderních technologií v individualizovaném přístupu k operačnímu řešení rozštěpových vad obličeje u dětských pacientů

Investor: Ministerstvo zdravotnictví ČR, Využití moderních technologií v individualizovaném přístupu k operačnímu řešení rozštěpových vad obličeje u dětských pacientů

Citovat

RICHTROVÁ, Michaela, Olga KOŠKOVÁ, Martin JANKŮ, Tereza BÖNISCHOVÁ, Dominik FABIÁN a Petr ŠTOURAČ. Regional anesthesia in neonates with cleft lip and palate: Retrospective study. International journal of pediatric otorhinolaryngology. Clare: Elsevier, 2024, roč. 180, May 2024, s. 1-5. ISSN 0165-5876. Dostupné z: https://dx.doi.org/10.1016/j.ijporl.2024.111965.

@article{2417681,
   author = {Richtrová, Michaela and Košková, Olga and Janků, Martin and Bönischová, Tereza and Fabián, Dominik and Štourač, Petr},
   article_location = {Clare},
   article_number = {May 2024},
   doi = {http://dx.doi.org/10.1016/j.ijporl.2024.111965},
   keywords = {Cleft lip; Neonatal cleft lip surgery; Opioids in neonates; Infraorbital nerve block; Regional anesthesia},
   language = {eng},
   issn = {0165-5876},
   journal = {International journal of pediatric otorhinolaryngology},
   title = {Regional anesthesia in neonates with cleft lip and palate: Retrospective study},
   url = {https://www.sciencedirect.com/science/article/pii/S0165587624001198?via%3Dihub},
   volume = {180},
   year = {2024}
}

TY  - JOUR
ID  - 2417681
AU  - Richtrová, Michaela - Košková, Olga - Janků, Martin - Bönischová, Tereza - Fabián, Dominik - Štourač, Petr
PY  - 2024
TI  - Regional anesthesia in neonates with cleft lip and palate: Retrospective study
JF  - International journal of pediatric otorhinolaryngology
VL  - 180
IS  - May 2024
SP  - 1-5
EP  - 1-5
PB  - Elsevier
SN  - 01655876
KW  - Cleft lip
KW  - Neonatal cleft lip surgery
KW  - Opioids in neonates
KW  - Infraorbital nerve block
KW  - Regional anesthesia
UR  - https://www.sciencedirect.com/science/article/pii/S0165587624001198?via%3Dihub
N2  - Background: Orofacial clefts are the most common congenital abnormalities. Cleft lip reconstruction is performed mostly in 3 months of life including the neonatal period. The consumption of opioids during anesthesia is one of the monitored parameters of anesthesia safety. We investigated the effect of using an infraorbital nerve block for reducing opioid consumption during cleft lip surgery in neonates. Patients/methods: Overall, 100 patients who underwent primary cleft lip surgery in neonatal age between 2018 and 2021 were included in the study. The primary outcome was to compare opioid requirements during cleft lip surgery with and without using regional anesthesia. Secondary outcomes included a first oral intake from surgery between neonates with and without regional anesthesia and complications rate of infraorbital nerve block. Results: Data from 100 patients (46 patients with and 64 without regional anesthesia) were retrospectively analyzed and classified into two groups according to whether regional anesthesia during neonatal cleft lip surgery had been performed or not. The use of infraorbital block was found to be positively correlated with lower doses of opioids used during the general anesthesia for the surgery (mean 0.48 mu g/kg vs 0.29 mu g/kg, p < 0.05). The postoperative course was evaluated based on the interval from surgery to first oral intake which was statistically insignificant shorter (p = 0.16) in the group of patients using regional anesthesia. No complications were recorded in the group of patients with regional anesthesia. Conclusions: Regional anesthesia is associated with reduced opioid consumption during anesthesia thereby increasing the safety of anesthesia in neonates.
ER  -

RICHTROVÁ, Michaela, Olga KOŠKOVÁ, Martin JANKŮ, Tereza BÖNISCHOVÁ, Dominik FABIÁN a Petr ŠTOURAČ. Regional anesthesia in neonates with cleft lip and palate: Retrospective study. \textit{International journal of pediatric otorhinolaryngology}. Clare: Elsevier, 2024, roč.~180, May 2024, s.~1-5. ISSN~0165-5876. Dostupné z: https://dx.doi.org/10.1016/j.ijporl.2024.111965.

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