Infiltration of skin patches as a component of multimodal analgesia in children with craniosynostosis after reconstructive surgery

Abstract

The aim of the study was to evaluate the effectiveness of anesthesia by infiltration of the skin flap with local anesthetic in children with craniosynostosis after reconstructive surgery. 50 children diagnosed with craniosynostosis from 1 month to 3 years, who underwent reconstructive operations on the bones of the skull, were divided into two groups by sequential set according to the nature of postoperative anesthesia: group № 1(experimental) - as part of multimodal analgesia used infiltration of the skin flap. group № 2 (control) - standard parenteral use of analgesic drugs. In the postoperative period, pain severity was assessed on the FLACC scales, the number of drug and non-drug analgesics consumed on the FSA scale, and non-invasive hemodynamic monitoring. The statistical analysis of the results revealed significant differences in the groups on the scales of FSA, FLACC. In group 1, the level of postoperative pain was significantly lower than in group 2. The number of drug and non-drug analgesics consumed was significantly lower in group 1.