Ultrasound-Guided Occipital Nerve Blocks as Part of Multi-Modal Perioperative Analgesia in Pediatric Posterior Craniotomies: A Case Series.
| Autor: | Gaelen, Jordan I., King, Michael R., Hajduk, John, Vargas, Angelica, Krodel, David J., Shah, Ravi D., Benzon, Hubert A. |
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| Předmět: |
ANALGESIA
ULTRASONIC imaging INTRAVENOUS therapy HUMAN research subjects PAIN measurement ROPIVACAINE OCCIPITAL lobe RECOVERY rooms NERVE block RETROSPECTIVE studies VISUAL analog scale INFORMED consent (Medical law) PATIENT-controlled analgesia TREATMENT effectiveness CASE studies ARNOLD-Chiari deformity DESCRIPTIVE statistics CRANIOTOMY CLONIDINE POSTOPERATIVE pain CHILDREN |
| Zdroj: | Children; Aug2023, Vol. 10 Issue 8, p1374, 7p |
| Abstrakt: | Various regional anesthetics have been used for postoperative analgesia for pediatric craniotomy. In this case series, we report retrospectively collected data on postoperative pain and analgesic use in 44 patients who received ultrasound-guided occipital nerve blocks in addition to intravenous analgesic agents for posterior craniotomy procedures. In the immediate post-anesthesia care unit, pain was rated as zero or well controlled in 77% of patients, with only 43% requiring intravenous or demand patient-controlled analgesia opioids. There were no block-related complications. Occipital nerve blocks may constitute a safe and effective component of multimodal analgesia in this population. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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