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            Best Paper Award :
Dr. Muhammad Baqir MR Fakhrildin
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Abstract

A COMPARISION BETWEEN BILATERAL INFRAORBITAL/ PALATINE NERVE BLOCK USING LEVOBUPIVACAINE AND DEXMEDETOMIDINE WITH PARACETAMOL PER RECTAL SUPPOSITORIES FOR POST OPERATIVE PAIN IN PEDIATRIC LIP AND ORAL SURGERIES.

*Dr. Apurva Agarwal, Rituj Somvanshi, Shaily Agarwal, Veena Arora, Anil Verma,
Shikha Sharma

ABSTRACT

INTRODUCTION: AIM: Comparative assessment of post-operative pain relief after administration of bilateral infraorbital /palatine nerve block with per rectal paracetamol suppositories in paediatric lip and oral surgeries was done. METHOD: A randomized double blind controlled trial was conducted on 60 ASA I and ASA II pediatric patients of age group 3 month to 5 years undergoing lip and oral surgeries. Patients were randomly allocated in two groups of 30 each. Group A: Patients were given bilateral infraorbital/palatine nerve block using levobupivacaine 0.25% with dexmedetomidine 1μg/ml. Group B: Patients were given per rectal paracetamol suppositories 15mg/kg. Degree of intraoperative pain was assessed using heart rate, blood pressure, and SPO2. Degree of post-operative pain relief was evaluated using FLACC score. Duration of postoperative analgesia, Need of rescue analgesia and any complications secondary to block were observed. STATISTICAL ANALYSIS: Student t test unpaired is was used in the study for comparison between the groups for statistical analysis. RESULTS: During intraoperative period the vitals remained more stable in group A than in group B the difference being statistically significant (p value <0.001) till the end of surgery. Group A had less FLACC scoring as compared to group B in postoperative period with longer duration as compared to group b. p value <0.001. CONCLUSION: Infraorbital/palatine nerve block using levobupivacaine with dexmedetomidine is more effective in pain relief in both intraoperative as well as postoperative period as compared to per rectal paracetamol suppositories.

Keywords: paracetamol suppositories,infraorbital palatine nerve block,cleft lip, cleft palate, flacc.


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