Ultrasound guidance characteristics and efficiency of suprazygomatic maxillary nerve blocks in infants: a descriptive prospective study

Paediatric Anaesthesia
Chrystelle SolaChristophe Dadure

Abstract

Bilateral suprazygomatic maxillary nerve blocks approach improves pain relief after palate surgery. We report the feasibility and efficiency of ultrasound-guided suprazygomatic maxillary nerve blocks in cleft palate repair in children. Twenty-five children scheduled to undergo surgical cleft palate repair were included. Ultrasound-guided suprazygomatic maxillary blocks were performed according to landmarks previously defined. The ultrasound probe was located optimally over the maxilla and under the zygomatic bone to visualize the pterygopalatine fossa. 0.15·ml·kg(-1) of 0.2% ropivacaine was injected bilaterally. Feasibility of block, spread of local anesthetic, pain scores and side effects were noted. Fifty ultrasound-guided suprazygomatic maxillary nerve blocks were performed in 25 children. The needle movement was seen in all cases using an out-of-plane approach. The spread of LA was clearly observed in 94% (47/50) of cases. A poor ultrasound imaging was found in 4% (2/50), and the spread of LA was not identified in 2% of case (1/50). The median time to perform the block was 56 s (35-120 s). The median pain scores and consumption of nalbuphine were low during the study period. 80% of patients did not require continuous opioid...Continue Reading

References

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Citations

Mar 28, 2012·Paediatric Anaesthesia·Adrian Bosenberg
Feb 13, 2015·Regional Anesthesia and Pain Medicine·Darren K M LamBan C H Tsui
Sep 25, 2019·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Gaston EchanizAnne Agur
Feb 19, 2015·European Journal of Anaesthesiology·Martin Jöhr
Jun 13, 2013·Current Opinion in Anaesthesiology·Phil RussellStephan A Schug
Mar 3, 2017·Current Pain and Headache Reports·Alecia L S SteinJacqueline L Tutiven
Apr 2, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Cameron R SmithNeil N Chheda
May 28, 2019·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Sarang ByunNalini Pather
Aug 25, 2017·American Journal of Veterinary Research·Kristen M FizzanoTodd M Archer
Apr 25, 2020·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Andrew Verniquet
May 16, 2019·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Sarang Byun, Nalini Pather
Sep 8, 2017·Journal of Dental Anesthesia and Pain Medicine·Soung Min KimJong Ho Lee
Jun 16, 2021·Anesthesia and Analgesia·David E ListonDaniel K Low
Mar 28, 2017·Journal of Stomatology, Oral and Maxillofacial Surgery·S CarrierM Laurentjoye

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