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Additional Pre-extubation Local Anaesthetic Application to Improve the Postoperative Course in Orthognathic Surgery: a Randomised Controlled Trial by G. Molins; A. Valls-Ontañón; F. Hernández-Alfaro; M. de Nadal is a Medicine article available to read on EtoBox.

What is Additional Pre-extubation Local Anaesthetic Application to Improve the Postoperative Course in Orthognathic Surgery: a Randomised Controlled Trial about?

A clinical trial was performed to assess the analgesic efficacy of adding ropivacaine pre-extubation for pain management after bimaxillary osteotomy. Fortyeight patients were assigned to receive general anaesthesia followed by either a single pre-incisional infiltration with lidocaine (control group, n = 24) or the same preincisional infiltration with lidocaine and an additional second infiltration with ropivacaine before awakening (test group, n = 24). Postoperative pain was assessed subjectively using a visual analogue scale and objectively based on the frequency of postoperative rescue opioid consumption. The dose of opioids (methadone) consumed and frequency of postoperative-nausea-vomiting were also recorded. Patients who received the two infiltrations of local anaesthetic had better results in terms of lesser pain during the first 8 hours postoperative (P < 0.001 at 2 and 4 hours; P = 0.028 at 8 h), a lesser need for rescue opioids (P = 0.020) and lower doses of rescue opioids (P = 0.011), and consequently a lesser incidence of postoperativenausea-vomiting (0-4 hours postoperative, P < 0.03). The results obtained suggest that the infiltration of an additional dose of local an

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Author

G. Molins; A. Valls-Ontañón; F. Hernández-Alfaro; M. de Nadal

Publisher

Elsevier BV

Published

2023

Language

EN

Field

Medicine (Health Sciences)