Kuroiwa KK, Nishizawa M, Kondo N, Nakazawa H, Hirabayashi T. Remifentanil for sedation and analgesia during awake division of tongue flap in children: a report of two cases.
JA Clin Rep 2018;
3:43. [PMID:
29457087 PMCID:
PMC5804639 DOI:
10.1186/s40981-017-0114-5]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2017] [Accepted: 08/14/2017] [Indexed: 11/10/2022] Open
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.
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