Le Fort, Pain, Postoperative
Conditions
Brief summary
This study will propose and evaluate a standardized LeFort osteotomy anesthetic protocol for pediatric patients at Johns Hopkins Hospital. There are two cohorts to this study: a prospective cohort who will receive the study anesthesia protocol and a historical cohort that received standard of care. The investigators hope this will help to minimize unnecessary postoperative pain management, inpatient stay, and long-term morbidity and mortality in these patients.
Detailed description
This study will propose and evaluate a standardized LeFort osteotomy anesthetic protocol for pediatric patients at Johns Hopkins Hospital. There are two cohorts to this study: a prospective cohort who will receive the study anesthesia protocol and a historical cohort that received standard of care. The investigators hypothesize that implementation of this standardized protocol will show improved surgical outcomes among these patients as compared to current (discretionary) treatment. This study aims to optimize the anesthetic management of these patients in order to minimize postoperative pain management, inpatient stay, and long-term morbidity and mortality in these complex patients.
Interventions
OTHERStandardized Anesthetic Course from Premedication to Induction
See information in intervention group description
Sponsors
Johns Hopkins University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
All consented patients will receive the intervention.
Eligibility
Sex/Gender
ALL
Age
14 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Undergoing Le Fort osteotomy at Johns Hopkins Hospital * Age \>= 14 years
Exclusion criteria
* Contraindications to standardized anesthetic protocol (intervention arm)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain | From hospital admission (on day of surgery) to discharge, which is expected to last 2-7 days though may be up to 30 days | The degree (as ranked on a scale from 1-10) and duration of postoperative pain, including necessity of postoperative analgesia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Length of stay | From hospital admission (on day of surgery) to discharge, which is expected to last 2-7 days though may be up to 30 days | Length of inpatient stay (in days) |
| Critical care utilization | From hospital admission (on day of surgery) to discharge, which is expected to last 2-7 days though may be up to 30 days | Utilization, and, where appropriate, length of use of the following: ICU, ventilatory support, intubation, blood products |
Countries
United States
Contacts
CONTACTRobin Yang, MD, DDS
PRINCIPAL_INVESTIGATORRobin Yang, MD, DDS
Johns Hopkins University
Outcome results
None listed