<b>Anaesthesia</b><i>for Cleft Lip and Palate Surgery</i>

Bosenberg, A.T.

doi:10.1080/22201173.2007.10872500

Cited by 6 publications

(14 citation statements)

References 26 publications

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“…On the issue “perioperative steroids,” both selected articles [ 45 , 46 ] conclude in favor of intravenous dexamethasone sodium phosphate perioperative administration in palatoplasties. Since there is a substantial risk of postoperative airway obstruction after palatoplasties (one of the most common postoperative problems) [ 83 ] and other craniofacial surgeries [ 84 ], perioperative steroids became a standard practice in many craniofacial centers [ 45 , 84 , 85 ]. However these two RCTs did not report relevant side effects; the samples were too small (45 [ 45 ] and 20 [ 46 ] patients) to analyze, without a high bias, steroids complications, such as psychosis [ 58 , 59 ] and hypertension [ 86 ].…”

Section: Discussionmentioning

confidence: 99%

Protocols in Cleft Lip and Palate Treatment: Systematic Review

Ladeira

Alonso

2012

Plastic Surgery International

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Objectives. To find clinical decisions on cleft treatment based on randomized controlled trials (RCTs). Method. Searches were made in PubMed, Embase, and Cochrane Library on cleft lip and/or palate. From the 170 articles found in the searches, 28 were considered adequate to guide clinical practice. Results. A scarce number of RCTs were found approaching cleft treatment. The experimental clinical approaches analyzed in the 28 articles were infant orthopedics, rectal acetaminophen, palatal block with bupivacaine, infraorbital nerve block with bupivacaine, osteogenesis distraction, intravenous dexamethasone sodium phosphate, and alveoloplasty with bone morphogenetic protein-2 (BMP-2). Conclusions. Few randomized controlled trials were found approaching cleft treatment, and fewer related to surgical repair of this deformity. So there is a need for more multicenter collaborations, mainly on surgical area, to reduce the variety of treatment modalities and to ensure that the cleft patient receives an evidence-based clinical practice.

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Section: Discussionmentioning

confidence: 99%

Protocols in Cleft Lip and Palate Treatment: Systematic Review

Ladeira

Alonso

2012

Plastic Surgery International

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“…[ 1 2 ] Throat pack given to prevent these complications again increases pack related postoperative sore throat (POST). [ 3 4 5 6 ] These problems can be solved by the use of cuffed tube. In spite of these advantages, cuffed tube is not widely accepted in pediatric practice because of the ideas against cuffed ET tube that, it would produce airway mucosal injury.…”

Section: Introductionmentioning

confidence: 99%

Clinical performance of cuffed versus uncuffed preformed endotracheal tube in pediatric patients undergoing cleft palate surgery

et al. 2016

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Background:Uncuffed endotracheal tubes are commonly used in children but due to several decade preferred in paediatric oral surgery. Due to lack of conclusive evidences in this regard, we have conducted this study to compare post-operative morbidity following use of cuffed and uncuffed endotracheal tubes in paediatric patients undergoing cleft lip-palate surgery.Methods:This randomised controlled trial was conducted on children aged 2 to 12 years.110 patients were allocated in two parallel groups using computer generated list of random numbers. Post operative extubation stridor, sore throat, time to first oral intake and regaining of normal voice were compared between two groups.Results:The incidence of sore throat was significantly more (P value > 0.005) in patients of uncuffed group compared to cuffed group. The time to first oral intake and time to regain normal voice were significantly earlier in cuffed group compared to the other.Conclusion:With standard care, preformed cuffed ET tube has shown reduced incidence of post operative sore throat. Cuffed group has earlier oral intake and normal voice regain compared to uncuffed group.

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“…The availability of blood for patients with the starting PCV of <24% has been recommended. [7] Decision on pre-operative grouping and cross-matching was primarily that of the managing surgeons, and appears not to have been closely guided by the pre-operative PCV in this series.…”

Section: Discussionmentioning

confidence: 96%

“…[7,13,14] The lowest accepted pre-operative PCV for surgery in this study was ≥27%. This reflects the concern of the attending anaesthetists with regards to the safety of the patients.…”

Section: Discussionmentioning

confidence: 98%