Remifentanil for sedation and analgesia during awake division of tongue flap in children: a report of two cases

Remifentanil for sedation and analgesia during awake division of tongue flap in children: a... Background: The tongue flap is an accepted treatment method for cleft palate repair. Orotracheal or nasotracheal intubation using a fiberoptic scope is preferred for the division of the tongue flap. We report two cases of tongue flap division in which the patients received adequate sedation and analgesia without tracheal intubation. Case presentation: Twelve- and 13-year-old male patients were treated at our hospital for tongue flap division, performed as part of a cleft palate repair. We planned to divide the tongue flap under sedation with remifentanil (1 μg/kg/min continuous infusion) and local anesthesia, followed by induction of general anesthesia, and orotracheal intubation after the tongue flap was divided. During the procedure, patients were breathing spontaneously and were cooperative. Patients were able to follow the surgeons’ verbal cues to thrust out the tongue during the procedure, so that the surgeons could easily insert the sutures. Conclusions: During the division of the tongue flap in two children, excellent sedative and analgesic effects were achieved using continuous remifentanil infusion. Keywords: Remifentanil, Tongue flap, Cleft palate Background tongue flaps were divided under sedation without Since the first report by Guerrero-Santos [1], tongue flap tracheal intubation. Adequate sedation with response to surgery has been used http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JA Clinical Reports Springer Journals

Remifentanil for sedation and analgesia during awake division of tongue flap in children: a report of two cases

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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2017 by The Author(s)
Subject
Medicine & Public Health; Anesthesiology; Pain Medicine; Intensive / Critical Care Medicine; Emergency Medicine
eISSN
2363-9024
D.O.I.
10.1186/s40981-017-0114-5
Publisher site
See Article on Publisher Site

Abstract

Background: The tongue flap is an accepted treatment method for cleft palate repair. Orotracheal or nasotracheal intubation using a fiberoptic scope is preferred for the division of the tongue flap. We report two cases of tongue flap division in which the patients received adequate sedation and analgesia without tracheal intubation. Case presentation: Twelve- and 13-year-old male patients were treated at our hospital for tongue flap division, performed as part of a cleft palate repair. We planned to divide the tongue flap under sedation with remifentanil (1 μg/kg/min continuous infusion) and local anesthesia, followed by induction of general anesthesia, and orotracheal intubation after the tongue flap was divided. During the procedure, patients were breathing spontaneously and were cooperative. Patients were able to follow the surgeons’ verbal cues to thrust out the tongue during the procedure, so that the surgeons could easily insert the sutures. Conclusions: During the division of the tongue flap in two children, excellent sedative and analgesic effects were achieved using continuous remifentanil infusion. Keywords: Remifentanil, Tongue flap, Cleft palate Background tongue flaps were divided under sedation without Since the first report by Guerrero-Santos [1], tongue flap tracheal intubation. Adequate sedation with response to surgery has been used

Journal

JA Clinical ReportsSpringer Journals

Published: Aug 23, 2017

References

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