Bilateral sphenopalatine ganglion block as adjuvant to general anaesthesia during endoscopic trans-nasal resection of pituitary adenoma
| Autor: | Sameh Sakr, Ashgan Raouf Ali, Ahmed Shawky M.A. Rahman |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Bupivacaine
Mean arterial pressure medicine.medical_specialty Sphenopalatine Ganglion Block business.industry Anaesthetic technique Analgesic Sphenopalatine ganglion Perioperative Regional Sevoflurane Surgery Anesthesiology and Pain Medicine Anesthesia Bispectral index medicine General anaesthesia business medicine.drug |
| Zdroj: | Egyptian Journal of Anaesthesia. 26:273-280 |
| ISSN: | 1110-1849 |
| DOI: | 10.1016/j.egja.2010.05.002 |
| Popis: | BackgroundThis study was conducted to investigate the anaesthetic, vasodilator, and post-operative analgesic sparing effect of bilateral sphenopalatine ganglion block (SPGB) in patients undergoing endoscopic endo-nasal trans-sphenoidal surgery.MethodsThirty adult patients of ASA (I, II), aged 20–60years, were randomly allocated to either the block group or the non-block group (n=15, for each). After establishment of general anesthesia with sevoflurane and 100% oxygen, the patients received bilateral SPGB with 1.5ml of either 0.5% bupivacaine (block group) or 0.9% NaCl (non-block group). Intra-operative mean arterial pressure (MAP) was maintained at 60–65mmHg by using nitroglycerine. End-tidal sevoflurane concentration required to maintain bispectral index values (40–50) throughout the operation was recorded. Nitroglycerine and propranolol consumption, blood loss, recovery profile, perioperative catecholamines, post-operative pain and meperidine consumption were evaluated.ResultsBlock group showed significant decrease in sevoflurane and nitroglycerine consumption, blood loss, emergence time and time needed to achieve⩾9 Aldrete score, P |
| Databáze: | OpenAIRE |
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