Pediatric anesthesia & critical care
Perioperative pain management for cleft palate surgery: a systematic review and procedure-specific postoperative pain management (PROSPECT) recommendations
Methodological detailsPROSPECT, PROSPECT methodology, MEDLINE, Embase, Cochrane searched for RCTs and systematic reviews, English language, July 2002 to August 2023; 1048 studies identified
- PROSPECT
- PROSPECT methodology
- MEDLINE, Embase, Cochrane searched for RCTs and systematic reviews, English language, July 2002 to August 2023; 1048 studies identified
Recommendations
As issued by the authors
Suprazygomatic maxillary nerve block, or palatal nerve block if maxillary nerve block cannot be performed
Dexmedetomidine added to local anesthetic for suprazygomatic maxillary nerve block or, alternatively, IV perioperatively
Combine with basic analgesic regimen of acetaminophen and NSAIDs
Pre-incisional local anesthetic infiltration and dexamethasone: contribution to pain relief unknown (limited procedure-specific evidence)
Original publication
Perioperative pain management for cleft palate surgery: a systematic review and procedure-specific postoperative pain management (PROSPECT) recommendations. Reg Anesth Pain Med. Published 18 December 2023. doi:10.
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