Infiltration of the nerves of the scalp with local anesthetics is used in adults for a variety of head and neck procedures and craniotomies with many benefits, from hemodynamic stability to reduced postoperative pain....Infiltration of the nerves of the scalp with local anesthetics is used in adults for a variety of head and neck procedures and craniotomies with many benefits, from hemodynamic stability to reduced postoperative pain. We here succinctly review the current evidence for “scalp block” in pediatric patients.展开更多
We report a case of an 11-year-old boy with diagnosed but uncorrected tetralogy of Fallot presented to us for brain abscess drainage. The child was managed successfully with scalp block with sedation.
Patients that present with scalp lesions within the distribution of cranial and spinal nerves may benefit considerably from regional nerve blocks, in this case, an occipital nerve in combination with spinal anesthesia...Patients that present with scalp lesions within the distribution of cranial and spinal nerves may benefit considerably from regional nerve blocks, in this case, an occipital nerve in combination with spinal anesthesia for lower extremity anesthesia. Such blocks can be used additionally as a source of postoperative pain relief.展开更多
目的观察比较开颅前行头部神经阻滞和（或）联合术后曲马多PCA（患者自控镇痛）对手术后疼痛的影响及镇痛效果。方法60例择期额颞部神经外科手术患者，ASAⅠ～Ⅱ级，用随机表法随机分为：①生理盐水对照组（n=20）；②长效利多卡因组（...目的观察比较开颅前行头部神经阻滞和（或）联合术后曲马多PCA（患者自控镇痛）对手术后疼痛的影响及镇痛效果。方法60例择期额颞部神经外科手术患者，ASAⅠ～Ⅱ级，用随机表法随机分为：①生理盐水对照组（n=20）；②长效利多卡因组（商品名克泽普）（n=20）；③罗哌卡因组（n=20）。麻醉诱导后根据手术切口部位进行眶上、耳颞、枕大、枕小神经阻滞。局麻药分别选用复方长效利多卡因、1％罗哌卡因和生理盐水。吸入异氟烷维持麻醉。术后采用曲马多PCA镇痛，检测术后2h、术后第1天和第2天疼痛视觉模拟评分（visual analog score，VAS）。结果术后2h对照组、长效利多卡因组、罗哌卡因组患者VAS评分分别为（42．0±19．7）mm、（25．2±16．4）mm和（38．6±24．5）mm，长效利多卡因组的VAS评分明显低于对照组，差异有统计学意义（P〈0．05）。术后第1、2天VAS评分较术后2hVAS评分降低，较对照组明显降低。结论术前行头皮神经阻滞可减轻术后的疼痛程度；联合术后曲马多PCA可达到满意的镇痛效果。展开更多
文摘Infiltration of the nerves of the scalp with local anesthetics is used in adults for a variety of head and neck procedures and craniotomies with many benefits, from hemodynamic stability to reduced postoperative pain. We here succinctly review the current evidence for “scalp block” in pediatric patients.
文摘We report a case of an 11-year-old boy with diagnosed but uncorrected tetralogy of Fallot presented to us for brain abscess drainage. The child was managed successfully with scalp block with sedation.
文摘Patients that present with scalp lesions within the distribution of cranial and spinal nerves may benefit considerably from regional nerve blocks, in this case, an occipital nerve in combination with spinal anesthesia for lower extremity anesthesia. Such blocks can be used additionally as a source of postoperative pain relief.
文摘目的 分析头皮神经阻滞联合右美托咪定用于帕金森患者脑深部电刺激手术的效果。方法 方便选取2019年1月—2020年12月福建医科大学附属协和医院收治的66例帕金森患者为研究对象,根据随机数表法分为两组,对照组33例予以切口局部浸润麻醉联合右美托咪定,研究组33例予以头皮神经阻滞联合右美托咪定。对比两组的血流动力学指标及脑电双频指数。结果 手术开始时(T1)、一侧钻孔时(T2)、对侧钻孔时(T3)及术毕时(T4),两组患者的心率(HR)、平均动脉压(MAP)水平及呼吸频率均低于入室时(T0),且研究组低于对照组,差异有统计学意义(P<0.05),而各时间点两组的血氧饱和度(SpO_(2))与T0时比较,且两组间比较,差异无统计学意义(P>0.05)。研究组脑电双频指数在停时使用麻醉药时[(78.78±6.33) vs (63.63±4.25)]、神经学测试时[(90.86±5.27) vs (82.67±4.31)]均高于对照组,差异有统计学意义(t=11.415、6.911,P<0.001)。结论 头皮神经阻滞联合右美托咪定用于帕金森患者脑深部电刺激手术的效果显著,有助于稳定血流动力学指标,并获得良好镇静水平。
文摘目的观察比较开颅前行头部神经阻滞和（或）联合术后曲马多PCA（患者自控镇痛）对手术后疼痛的影响及镇痛效果。方法60例择期额颞部神经外科手术患者，ASAⅠ～Ⅱ级，用随机表法随机分为：①生理盐水对照组（n=20）；②长效利多卡因组（商品名克泽普）（n=20）；③罗哌卡因组（n=20）。麻醉诱导后根据手术切口部位进行眶上、耳颞、枕大、枕小神经阻滞。局麻药分别选用复方长效利多卡因、1％罗哌卡因和生理盐水。吸入异氟烷维持麻醉。术后采用曲马多PCA镇痛，检测术后2h、术后第1天和第2天疼痛视觉模拟评分（visual analog score，VAS）。结果术后2h对照组、长效利多卡因组、罗哌卡因组患者VAS评分分别为（42．0±19．7）mm、（25．2±16．4）mm和（38．6±24．5）mm，长效利多卡因组的VAS评分明显低于对照组，差异有统计学意义（P〈0．05）。术后第1、2天VAS评分较术后2hVAS评分降低，较对照组明显降低。结论术前行头皮神经阻滞可减轻术后的疼痛程度；联合术后曲马多PCA可达到满意的镇痛效果。
