Scandcleft randomised trials of primary surgery for unilateral cleft lip and palate: 3. Descriptive study of postoperative nursing care following first stage cleft closure

Abstract

ISRCTN29932826.

A Challenging Period After Repair: Etiology and Follow-Up Rates of the Patients With Cleft Lip and Palate in Intensive Care Unit

“…In the literature, a study reported the high dependency unit admission rate as 2.7%, and the mean length of stay in ICU was 12.9 to 24.98 hours. 14 However, in this study, further data such as etiology of ICU/high dependency unit admission, the type of the admission (expected/unexpected), the association of the cleft type with admission, treatment/follow-up protocol in the ICU have not been examined. The higher rate of ICU admission and the long stay in the ICU of the present study is attributed to admissions and consultations of the challenging patients to our clinic, as our hospital is a tertiary healthcare center and is the referral hospital for CLP management with a comprehensive cleft team.…”

“…In a study reporting the ICU admission rate, different repair techniques of different centers have been compared. 14 However, this study has not analyzed the etiology of the ICU admission, such as associated syndromes and concomitant anomalies. Furthermore, to our knowledge, there is not presented ICU admission rate and associated data of CLP patients without additional medical issues in the literature.…”

“…Although this variety of reports, there is a lack of studies on ICU admission rate and its etiology in CLP patients. In a study reporting the ICU admission rate, different repair techniques of different centers have been compared 14 . However, this study has not analyzed the etiology of the ICU admission, such as associated syndromes and concomitant anomalies.…”

“…15,16 Besides these malformations, compared to other pediatric populations, an abnormal decrease of airway patency after cleft repair and atypical anatomy of the upper airway (micrognathia, retrognathia) make the postoperative period more complicated. 4,14 On the other hand, swelling of the tongue, oral mucosal edema, atelectasis, and bleeding also cause a respiratory compromise. 17 Therefore, besides the babies with associated comorbidities, a totally healthy baby with an orofacial cleft, without any syndrome or anomaly, may get decompensated because of anesthesia, bleeding, or airway complications.…”

Effectiveness of Structured Teaching Program (STP) on Knowledge and Practice of Post-Operative Care among Parents of Children with Cleft Lip and Cleft Palate

“…Cleft lip and palate is one of the most common congenital anomalies requiring surgical treatment in children, normally commenced in the first year of life [6]. Routine laboratory testing has minimal impact on management and outcome of orofacial cleft surgeries.…”