Comparison of Patient Comfort During the First Stage of Conventional Versus Modified Two-Stage Inferior Alveolar Nerve Blocks in Pediatric Patients

Joseph, Rose maria and Rao, Dr. Ashwin P and *, Dr. Srikant N and *, Dr. Karunya Y. M. and Nayak, Dr. Anupama P (2019) Comparison of Patient Comfort During the First Stage of Conventional Versus Modified Two-Stage Inferior Alveolar Nerve Blocks in Pediatric Patients. Anesthesia Progress, 66 (12). pp. 221-226. ISSN 00033006

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Abstract

Our aim was to compare the comfort of pediatric patients during the first stage of the conventional 2-stage inferior alveolar nerve block (IANB) versus the modified 2-stage IANB. This was a parallel group, single-blinded, randomized controlled trial. Pediatric patients meeting the inclusion criteria were randomly allocated to 1 of the 2 groups receiving IANB, group 1 (31 subjects) utilized a conventional 2-stage technique, and group 2 (33 subjects) utilized a modified 2- stage approach. Patient comfort was assessed indirectly by 2 observers using the Face, Legs, Activity, Cry, Consolability (FLACC) scale during the first stage of the injections. FLACC score data between the 2 groups were analyzed using the chi-square test, and interobserver reliability was measured using kappa statistics. During the first stage of the injections, lower FLACC scores of 0 indicating a relaxed/comfortable patient experience were found in 57.6% of group 2 subjects compared with only 25.8% group 1 subjects, which was a statistically significant difference (p-value .013). Interobserver reliability assessed using kappa coefficients (j ¼ 0.812) indicated excellent agreement. FLACC scores for the pediatric patients during the first stage of the modified 2-stage IANB technique were significantly lower than during the first stage of the conventional 2-stage IANB technique.

Item Type: Article
Uncontrolled Keywords: Local anesthesia; Children; Pain; Injections; Two-stage technique; Inferior alveolar nerve block.
Subjects: Dentistry > MCODS Mangalore > Oral Pathology
Dentistry > MCODS Mangalore > Pedodontics
Depositing User: KMCMLR User
Date Deposited: 03 Nov 2020 09:09
Last Modified: 03 Nov 2020 09:09
URI: http://eprints.manipal.edu/id/eprint/155540

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