Ultrasound-Guided Occipital Nerve Blocks as Part of Multi-Modal Perioperative Analgesia in Pediatric Posterior Craniotomies: A Case Series

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 anal...

Descripción completa

Detalles Bibliográficos
Autores principales: Gaelen, Jordan I., King, Michael R., Hajduk, John, Vargas, Angelica, Krodel, David J., Shah, Ravi D., Benzon, Hubert A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Brief Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10453530/
https://www.ncbi.nlm.nih.gov/pubmed/37628373
http://dx.doi.org/10.3390/children10081374
_version_ 1785095959799136256
author Gaelen, Jordan I.
King, Michael R.
Hajduk, John
Vargas, Angelica
Krodel, David J.
Shah, Ravi D.
Benzon, Hubert A.
author_facet Gaelen, Jordan I.
King, Michael R.
Hajduk, John
Vargas, Angelica
Krodel, David J.
Shah, Ravi D.
Benzon, Hubert A.
author_sort Gaelen, Jordan I.
collection PubMed
description 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.
format Online
Article
Text
id pubmed-10453530
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-104535302023-08-26 Ultrasound-Guided Occipital Nerve Blocks as Part of Multi-Modal Perioperative Analgesia in Pediatric Posterior Craniotomies: A Case Series Gaelen, Jordan I. King, Michael R. Hajduk, John Vargas, Angelica Krodel, David J. Shah, Ravi D. Benzon, Hubert A. Children (Basel) Brief Report 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. MDPI 2023-08-11 /pmc/articles/PMC10453530/ /pubmed/37628373 http://dx.doi.org/10.3390/children10081374 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Brief Report
Gaelen, Jordan I.
King, Michael R.
Hajduk, John
Vargas, Angelica
Krodel, David J.
Shah, Ravi D.
Benzon, Hubert A.
Ultrasound-Guided Occipital Nerve Blocks as Part of Multi-Modal Perioperative Analgesia in Pediatric Posterior Craniotomies: A Case Series
title Ultrasound-Guided Occipital Nerve Blocks as Part of Multi-Modal Perioperative Analgesia in Pediatric Posterior Craniotomies: A Case Series
title_full Ultrasound-Guided Occipital Nerve Blocks as Part of Multi-Modal Perioperative Analgesia in Pediatric Posterior Craniotomies: A Case Series
title_fullStr Ultrasound-Guided Occipital Nerve Blocks as Part of Multi-Modal Perioperative Analgesia in Pediatric Posterior Craniotomies: A Case Series
title_full_unstemmed Ultrasound-Guided Occipital Nerve Blocks as Part of Multi-Modal Perioperative Analgesia in Pediatric Posterior Craniotomies: A Case Series
title_short Ultrasound-Guided Occipital Nerve Blocks as Part of Multi-Modal Perioperative Analgesia in Pediatric Posterior Craniotomies: A Case Series
title_sort ultrasound-guided occipital nerve blocks as part of multi-modal perioperative analgesia in pediatric posterior craniotomies: a case series
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10453530/
https://www.ncbi.nlm.nih.gov/pubmed/37628373
http://dx.doi.org/10.3390/children10081374
work_keys_str_mv AT gaelenjordani ultrasoundguidedoccipitalnerveblocksaspartofmultimodalperioperativeanalgesiainpediatricposteriorcraniotomiesacaseseries
AT kingmichaelr ultrasoundguidedoccipitalnerveblocksaspartofmultimodalperioperativeanalgesiainpediatricposteriorcraniotomiesacaseseries
AT hajdukjohn ultrasoundguidedoccipitalnerveblocksaspartofmultimodalperioperativeanalgesiainpediatricposteriorcraniotomiesacaseseries
AT vargasangelica ultrasoundguidedoccipitalnerveblocksaspartofmultimodalperioperativeanalgesiainpediatricposteriorcraniotomiesacaseseries
AT krodeldavidj ultrasoundguidedoccipitalnerveblocksaspartofmultimodalperioperativeanalgesiainpediatricposteriorcraniotomiesacaseseries
AT shahravid ultrasoundguidedoccipitalnerveblocksaspartofmultimodalperioperativeanalgesiainpediatricposteriorcraniotomiesacaseseries
AT benzonhuberta ultrasoundguidedoccipitalnerveblocksaspartofmultimodalperioperativeanalgesiainpediatricposteriorcraniotomiesacaseseries

Ejemplares similares