开颅手术的神经阻滞。

IF 3.2 2区 医学 Q2 CLINICAL NEUROLOGY Current Pain and Headache Reports Pub Date : 2024-05-01 Epub Date: 2024-03-12 DOI:10.1007/s11916-024-01236-4
Andrea Stieger, Carolina S Romero, Lukas Andereggen, Daniel Heisenberg, Richard D Urman, Markus M Luedi
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引用次数: 0

摘要

综述目的:开颅术后头痛(PCH)是一种常见的不良反应,可导致各种并发症和生活质量下降:为减少开颅术后疼痛和相关并发症,必须采用多模式疼痛疗法,包括镇痛药、镇痛辅助药物和区域麻醉。应尽量减少阿片类药物的使用,以便及时进行术后神经外科评估。在此,我们将提供有关头皮神经阻滞在开颅手术患者疼痛治疗中的作用的最新证据。神经阻滞能有效缓解开颅手术后的疼痛。头皮神经阻滞可降低术后 48 小时内的疼痛程度,减少阿片类药物的用量。此外,接受头皮阻滞的患者中,PONV 患者明显减少。
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Nerve Blocks for Craniotomy.

Purpose of review: Postcraniotomy headache (PCH) is a common adverse event and can lead to various complications and decreased quality of life.

Recent findings: To reduce postcraniotomy pain and associated complications, a multimodal pain therapy including analgesics, analgesic adjuncts, and regional anesthesia is essential. The use of opioids should be minimized to facilitate prompt postoperative neurosurgical assessment. Here, we provide an update on the latest evidence regarding the role of scalp nerve blocks in the pain management of patients undergoing craniotomy procedure. Nerve blocks are effective in alleviating postoperative pain after craniotomy. Scalp blocks contribute to lower pain levels and less opioid consumption in the first 48 h following surgery. Moreover, there is a significant decrease in patients suffering from PONV among patients who receive scalp block.

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来源期刊
Current Pain and Headache Reports
Current Pain and Headache Reports CLINICAL NEUROLOGY-
CiteScore
6.10
自引率
2.70%
发文量
91
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published clinical findings regarding the diagnosis, treatment, and management of pain and headache. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of pain and headache. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anesthetic techniques in pain management, cluster headache, neuropathic pain, and migraine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
期刊最新文献
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