Pediatric anesthesia & critical care

Ultrasound guidance does not improve local anesthetic distribution in suprazygomatic maxillary nerve blocks in pediatric patients: a clinical, randomized, controlled, observer-blinded, crossover MRI trial

Reg Anesth Pain MedPublished Randomised controlled trial

Authors' conclusion

Appropriate pain management for cleft palate repair can be achieved without the availability of imaging guidance.

Study context

Population
Pediatric patients scheduled for cleft palate repair receiving bilateral suprazygomatic maxillary blocks
Participants
20 patients
Comparison
Ultrasound-guided vs landmark-based suprazygomatic maxillary nerve block
Primary endpoint
Local anesthetic spread to the pterygopalatine fossa with contact to the maxillary nerve on MRI (successful block)
Methodological detailsobserver-blinded, crossover, bilateral within-patient randomisation
  • Observer-blinded
  • Crossover
  • Bilateral within-patient randomisation

Primary result

As reported in the abstract

Successful block (spread to pterygopalatine fossa with maxillary nerve contact)

P = 0.56

Safety

Adverse events or complications during or after the block procedures

No adverse events or complications observed

Original publication

Ultrasound guidance does not improve local anesthetic distribution in suprazygomatic maxillary nerve blocks in pediatric patients: a clinical, randomized, controlled, observer-blinded, crossover MRI trial. Reg Anesth Pain Med. Published 11 April 2025. doi:10.1136/rapm-2025-106439

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