Comparison of general anaesthesia versus regional anaesthesia with sedation in selected maxillofacial surgery: a randomized controlled trial

Rastogi, Amit; Gyanesh, Prakhar; Nisha, S. Shajun; Agarwal, Apurva; Mishra, Priya; Tiwari, Akhilesh Kumar

doi:10.1016/j.jcms.2013.05.010

Cited by 17 publications

(9 citation statements)

References 11 publications

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“…The 42 studies described outcomes in 436 310 patients, of whom 70·9 per cent were men ( Table ), and 47·1 per cent of patients had an ASA grade of III or higher. The most common procedure studied was hip fracture (22 studies), followed by endovascular stroke therapy (7) and ankle fracture fixation (3).…”

Section: Demographicsmentioning

confidence: 99%

Scoping review of mode of anaesthesia in emergency surgery

Morley

Elliott

Rees

et al. 2020

British Journal of Surgery

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Background Emergency surgery encompasses more than 50 per cent of the surgical workload; however, research efforts are disproportionally low. The mode of anaesthesia used during emergency surgery may affect outcomes, but the extent of research and the impact of the different modes of anaesthesia used are unclear. Methods MEDLINE and Embase were searched using scoping review methodology with a rapid systematic search strategy, identifying any study comparing locoregional (local, nerve block, subarachnoid, epidural) anaesthesia with general anaesthesia. All studies describing outcomes of emergency surgery with differing modes of anaesthesia were identified. Excluded were: studies published before 2003, studies enrolling patients aged less than 18 years and studies using sedation only. Results Forty‐two studies were identified, describing 11 surgical procedures. Most publications were retrospective cohort studies (32). A very broad range of clinical and patient‐reported outcomes were described, with wide variation in the outcomes reported in different studies. Conclusion Reporting of mode of anaesthesia is inconsistent across different procedures and is often absent. There is a need for directed research efforts to improve the reporting standards of anaesthesia interventions, to understand the role of different modes of anaesthesia in specific emergency surgical procedures, and to standardize outcome reporting using core outcome sets.

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Section: Demographicsmentioning

confidence: 99%

Scoping review of mode of anaesthesia in emergency surgery

Morley

Elliott

Rees

et al. 2020

British Journal of Surgery

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“…Various factors such as alteration in the pH, temperature, slow deposition of the anesthetic solution, and the use of topical anesthetic spray before needle insertion have been tried to reduce the discomfort of intraoral injection (1). Decreased intraoperative and postoperative pain, minimum postoperative complications and high patient co-operation are few of the advantages of operating under local anesthesia (2). Cyst enucleation under appropriate pain management leads to a hassle free procedure.…”

Section: Introductionmentioning

confidence: 99%

Pain Control : Current Understanding and Multimodal Approach in Management of Maxillary Midline Cyst

Ramanojam¹,

Patil²,

Limbhore³

2018

EJMR

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In 1968 Mc Caffery defined pain as "Whatever the experiencing person says it is whenever he/she says it does" Pain is the most common reason individuals seek health care. Pain control in Oral And Maxillofacial Surgery is an important factor for reducing the fear and anxiety associated with dental procedures. In dentistry, local anaesthetics form the backbone for pain control. This case report highlights the implication of splash block technique in enucleation a maxillary midline residual cyst which would otherwise be operated under general anesthesia owing to its proximity to nasal floor.

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“…3,4 The use of mandibular nerve block has been demonstrated to decrease opioid consumption during general anesthesia and may provide superior analgesia as compared with systemic opioids. 5,6 Mandibular nerve block can be accomplished using either an extraoral or intraoral anatomical landmark approach. Traditionally, the intraoral technique, such as the inferior alveolar nerve block, has been reported to provide adequate anesthesia in approximately 80% to 85% of patients.…”

mentioning

confidence: 99%