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• W1796614146 abstract "espanolObjetivo: Comparar la eficacia y duracion del bloqueo del nervio infraorbitario intraoral bilateral frente la analgesia intravenosa convencional con tramadol en el control del dolor postoperatorio en lactantes sometidos queiloplastia por labio leporino. Material y metodos: Tras la realizacion de una adecuada valoracion preanestesica y la obtencion del consentimiento informado de los padres, realizamos un estudio prospectivo, controlado aleatorizado y doble ciego en 25 ninos, ASA I, con edades comprendidas entre los 3-10 meses, tras obtener el consentimiento informado de los padres, propuestos para cirugia correctora de labio leporino (queiloplastia). Todos ellos fueron premeditados, media hora antes de la intervencion quirurgica, con midazolan oral (0,5 mg.kg-1) y, en todos los casos, se practico la tecnica anestesica y el bloqueo nervioso por el mismo anestesiologo, que consistio en una induccion inhalatoria con sevoflurano previa la venoclisis. La anestesia general se completo con atropina, fentanilo y rocuronio las dosis establecidas que se administraron, por via intravenosa, previamente la intubacion endotraqueal y la ventilacion mecanica. Los pacientes fueron divididos aleatoriamente en dos grupos: Grupo A (n = 12): se administro 1-2 ml de bupivacaina al 0,25% con adrenalina para el bloqueo infraorbitario bilateral y solucion salina intravenosa como sustitutivo de la analgesia intravenosa con tramadol. Grupo B (n = 13): se administro solucion salina para el bloqueo nervioso, en lugar de la bupivacaina, y tramadol intravenoso (1,5 mg.kg-1) como analgesia postoperatoria. En todos ellos se realizo anestesia general con sevoflurano y fentanilo a demanda segun parametros convencionales (tension arterial, frecuencia cardiaca, tamano pupilar, etc.). Durante sus primeras seis horas de estancia en Reanimacion se valoro la duracion de la analgesia, grado de disconfort e intensidad dolorosa. Ademas se anoto la aparicion de cualquier complicacion o efecto adverso. Los datos se analizaron mediante t Student y test χ². Resultados: No existieron diferencias en cuanto las caracteristicas demograficas. La duracion de la analgesia fue mayor en el grupo A (7,3 ± 5,1 h) que en el grupo B (2,8 ± 2,2 h) (p EnglishObjective: To compare the effectiveness and length of bilateral intraoral blockade of the infraorbitary nerve versus standard intravenous analgesia with tramadol for the management of postoperative pain in breast-fed infants undergoing chieloplasty due to harelip. Material and methods: After conducting an adequate pre-anesthetic assessment and obtaining the informed consent from their parents, we performed double-blind, randomized, controlled and randomized study in 25 ASA I infants with ages ranging from 3 to 10 months that were candidates to corrective harelip surgery (chieloplasty). All of them were pretreated half an hour before the surgical procedure with oral midazolan (0.5 mg.kg-1) and the same anesthesiologist performed the anesthetic technique and the nerve blockade in all the cases, this being inhaled induction with sevoflurane prior to venoclysis. General anesthesia was achieved with intravenous administration of atropine, fentanyl and rocuronium at the standard doses prior to endotracheal intubation and mechanical ventilation. Patients were randomized to one of the following groups: Group A (n = 12): 1-2 ml of bupivacaine 0.25% plus adrenaline was administered for bilateral blockade of the intraorbitary nerve and intravenous saline solution instead of intravenous analgesia with tramadol. Group B (n = 13): saline solution was administered for nerve blockade, instead of bupivacaine, and intravenous tramadol (1.5 mg.kg-1) was provided as postoperative analgesia. All of the patients underwent general anesthesia with sevoflurane and fentanyl on-demand according to standard parameters (blood pressure, heart rate, pupil size, etc.). During the first six hours at Reanimation, length of analgesia, degree of discomfort and pain severity were assessed. The presence of complications or side effects was also recorded. Data were analyzed using the t Student and the χ² test. Results: No differences were found regarding demographic features. Analgesia lasted more in group A (7.3 ± 5.1 h) compared to group B (2.8 ± 2.2 h) (p" @default.
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• W1796614146 title "Analgesia postoperatoria en la queiloplastia del lactante. Estudio comparativo: bloqueo infraorbitario intraoral bilateral con bupivacaína 0,25% con adrenalina vs. analgesia intravenosa con tramadol" @default.
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