Additional pre-extubation local anaesthetic application to improve the postoperative course in orthognathic surgery: a randomised controlled trial

A clinical trial was performed to assess the analgesic efficacy of adding ropivacaine pre-extubation for pain management after bimaxillary osteotomy. Forty-eight patients were assigned to receive general anaesthesia followed by either a single pre-incisional infiltration with lidocaine (control grou...

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Bibliographic Details
Published in:International journal of oral and maxillofacial surgery 2023-11, Vol.52 (11), p.1173-1178
Main Authors: Molins, G., Valls-Ontañón, A., Hernández-Alfaro, F., de Nadal, M.
Format: Article
Language:English
Subjects:
Facial pain
Local anaesthesia
Mandibular osteotomy
Maxillary osteotomy
Postoperative pain
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Summary:A clinical trial was performed to assess the analgesic efficacy of adding ropivacaine pre-extubation for pain management after bimaxillary osteotomy. Forty-eight patients were assigned to receive general anaesthesia followed by either a single pre-incisional infiltration with lidocaine (control group, n = 24) or the same pre-incisional infiltration with lidocaine and an additional second infiltration with ropivacaine before awakening (test group, n = 24). Postoperative pain was assessed subjectively using a visual analogue scale and objectively based on the frequency of postoperative rescue opioid consumption. The dose of opioids (methadone) consumed and frequency of postoperative-nausea-vomiting were also recorded. Patients who received the two infiltrations of local anaesthetic had better results in terms of lesser pain during the first 8 hours postoperative (P
ISSN:0901-5027
1399-0020
DOI:10.1016/j.ijom.2023.05.010