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.
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.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
50
See information in intervention group description
Johns Hopkins Hospital
Baltimore, Maryland, United States
RECRUITINGPostoperative pain
The degree (as ranked on a scale from 1-10) and duration of postoperative pain, including necessity of postoperative analgesia
Time frame: 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 stay
Length of inpatient stay (in days)
Time frame: From hospital admission (on day of surgery) to discharge, which is expected to last 2-7 days though may be up to 30 days
Critical care utilization
Utilization, and, where appropriate, length of use of the following: ICU, ventilatory support, intubation, blood products
Time frame: From hospital admission (on day of surgery) to discharge, which is expected to last 2-7 days though may be up to 30 days
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