Craniofacial and maxillary anomalies: Anesthetic implications and management

Bajwa, Sukhminder Jit Singh; Kulshrestha, Ashish

doi:10.4103/0974-5009.132819

Cited by 6 publications

(5 citation statements)

References 20 publications

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“…Tessier N 12 is described as a rare anomaly of the bony tissue positioned between the nose and frontal bone. It is characterized by the medial orbital wall defect with soft-tissue enlargement, herniation of brain tissue, and displacement of eyes and orbit, as was observed in our case [1,6].…”

Section: Discussionsupporting

confidence: 66%

“…Although the exact incidence is unclear, it is estimated between 1.4 and 4.9/100,000 live births. These clefts are mainly due to the maldevelopment at an embryonic stage [1][2][3]. These clefts can further be divided into predominantly cranial, predominantly facial, or a combination of both, i.e., craniofacial with the palpebral tissue as the reference line [4,5].…”

mentioning

confidence: 99%

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Anesthetic Concerns and Airway Management of a 12-Year-Old Child Born With Craniofacial Cleft: A Case Report

Amrita¹,

Kakkar²

2020

IJCR

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Children born with craniofacial anomalies are usually associated with syndromes such as Treacher Collins, Pierre Robin, Klippel-Feil, craniosynostosis, and its related disorders. These children present with difficult challenges for the anesthesiologist, one being the difficult mask ventilation and intubation. With the recent advances in modern craniofacial surgeries, these facial defects can be corrected to a large extent and thus, a person can lead a normal life. It is important to understand the development and characteristics of the more common anomalies and the challenges associated with them so that we can plan safe anesthesia for these patients. Here, we describe the successful anesthetic management of a 12-year-old child with left Tessier type 12 naso-orbital cleft with a cleft lip and high arched palate. The child was posted for corrective surgery of the facial cleft.

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Section: Discussionsupporting

confidence: 66%

mentioning

confidence: 99%

Anesthetic Concerns and Airway Management of a 12-Year-Old Child Born With Craniofacial Cleft: A Case Report

Amrita¹,

Kakkar²

2020

IJCR

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“…[6][7][8] Systemic analgesics, such as narcotics, are commonly used, but their side effects profile including respiratory depression, cognitive impairment, vomiting, urinary retention, and others limits their clinical utility during injuries of the head, chest, or abdomen. [9][10][11] Previous studies suggest that the use of local anesthesia using femoral nerve block (FNB) is a safe and effective method. These methods can be carried out during prehospital care, emergency department (ED) and in the preoperative setting.…”

mentioning

confidence: 99%

Positioning for regional anesthesia in femur fracture surgeries: how effective is femoral nerve block? a randomised control study

Purohit¹,

Sireesha²,

Badami³

2017

Int J Res Med Sci

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Background: Fracture of the femur is a common orthopaedic problem following trauma in patients of all ages. This study was undertaken to evaluate the effectiveness of femoral nerve block (FNB) in positioning the patients for regional anesthesia.Methods: 100 patients between the ages 18 to 80 years, of ASA grade I, II and III, scheduled for elective surgeries of femur fracture were evaluated in 2 groups. Group FNB (n=50) received femoral nerve block with 15ml of 1.5% lignocaine and Group. Non FNB (n=50) was not given any block. Assessment of pain was carried out using visual analog scale (VAS). This was rated before, during and after the procedure of positioning for spinal/combined spinal epidural anesthesia (CSE). Vital parameters were tabulated.Results: VAS scores were noted at 0, 2, 5,10,15 minutes and at the time of positioning. VAS scores at 15 minutes after FNB was 1.473 ±0.1639 and 8.250±0.3615 in patients without FNB. Time taken for CSE was significantly less in FNB group (13.026±0.4628) minutes as compared to non FNB group (19.660 ±0.3742) minutes. Patient satisfaction scores were significantly higher in FNB group (45/50) 1.4952±0.033 as compared to non FNB group (10/50) 0.3460±0.1786. Quality of patient positioning was better in FNB group (2.782 ±0.1273) as compared to non FNB (1.382±0.2473).Conclusions:This study concludes that FNB is highly effective in giving good pain relief for positioning for regional anaesthetic procedures improving performance time and offers higher acceptance among patients with femoral fractures.

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“…Blood loss can be reduced using judicious use of infiltration with vasopressors, meticulous surgical technique and avoiding dilutional coagulopathies. [35]…”

Section: Craniofacial Surgeriesmentioning

confidence: 99%

Fluid management in infants and children during intracranial surgery

Karnik¹

2017

Journal of Neuroanaesthesiology and Critical Care

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Fluid management in neurosurgical paediatric patients can be a real challenge due to their different pathophysiology, sensitivity to fluid loss, inability to accurately judge the degree of abnormality and adequacy of replacement in face of limited monitoring. For infants and children undergoing neurosurgical procedures, isotonic fluids should be used for maintenance and replacement to avoid increase in intracranial pressure and maintain cerebral perfusion. Routine use of added dextrose is not needed, but blood glucose monitoring should be done in high risk population. Preoperative deficits and intraoperative blood loss should be closely monitored and treated. Hyponataemia and other electrolyte derangements are common and should be monitored.

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Craniofacial and maxillary anomalies: Anesthetic implications and management

Cited by 6 publications

References 20 publications

Anesthetic Concerns and Airway Management of a 12-Year-Old Child Born With Craniofacial Cleft: A Case Report

Anesthetic Concerns and Airway Management of a 12-Year-Old Child Born With Craniofacial Cleft: A Case Report

Positioning for regional anesthesia in femur fracture surgeries: how effective is femoral nerve block? a randomised control study

Fluid management in infants and children during intracranial surgery

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