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[Anesthesia problems in children with cleft lip, maxilla and palate]
Minerva Anestesiologica
|June 1, 1981
Insights
This study discusses challenges in cleft lip and palate surgery for children. A simplified anesthesia technique using pentazocine, avoiding halogenated agents, ensures safe and successful surgical outcomes.
Area of Science:
- Pediatric surgery
- Anesthesiology
- Craniofacial anomalies
Context:
- Labiomaxillopalatine schisis presents unique surgical and physiological challenges in pediatric patients.
- Effective management requires specialized anesthetic approaches tailored to this condition.
Purpose:
- To describe a simplified anesthetic technique for labiomaxillopalatine schisis repair in children.
- To report personal experience utilizing pentazocine-based anesthesia and minimizing halogenated agents.
Summary:
- The presented technique involves careful intraoperative monitoring and the use of pentazocine as a primary analgesic.
- Exclusion of halogenated anesthetics in most cases simplifies the procedure.
- This approach facilitates serene and successful surgical interventions.
Impact:
- Offers a straightforward and effective anesthetic strategy for cleft lip and palate surgeries.
- Contributes to improved patient safety and surgical outcomes in pediatric craniofacial reconstruction.
- Highlights the importance of tailored anesthetic protocols in managing complex congenital conditions.
Abstract:
The technical and physiopathological problems associated with labiomaxillopalatine schisis in children are discussed. Personal experience, involving the choice of a type of anaesthesia based on the use of an analgesic (pentazocine), and the exclusion of halogenated anaesthetics in most cases, is reported. Stress is laid on the simplicity of the technique. Coupled with careful intraoperative monitoring, it has enabled this type of surgery to be handled both serenely and successfully.