超声引导头皮阻滞用于清醒开颅术:1例报告。

IF 0.5 A&A Practice Pub Date : 2022-09-20 eCollection Date: 2022-09-01 DOI:10.1213/XAA.0000000000001618

Samuel Ern Hung Tsan, Chin H Goh, Peter C S Tan

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引用次数: 1

摘要

超声引导头皮阻滞可能会彻底改变神经外科的区域麻醉。在本报告中，我们证明超声引导头皮块可以有效地用于开颅手术。一位48岁的运动皮质脑肿瘤患者被安排在清醒状态下开颅手术。超声引导头皮阻滞针对双侧眶上神经、滑车上神经、颧颞神经、耳颞神经、耳大神经、枕小神经、枕大神经和枕第三神经。左布比卡因用量为0.3%，共29 mL。颅骨钉钉、皮肤切开或开颅手术均未使用额外的局麻药。术后患者无疼痛，出院时无并发症。

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Ultrasound-Guided Scalp Blocks for an Awake Craniotomy: A Case Report.

Ultrasound-guided scalp blocks may revolutionize regional anesthesia for neurosurgery. In this report, we demonstrate that ultrasound-guided scalp blocks can be used effectively for a craniotomy. A 48-year-old patient with a brain tumor at the motor cortex was scheduled for an awake craniotomy. Ultrasound-guided scalp blocks targeting the bilateral supraorbital, supratrochlear, zygomaticotemporal, auriculotemporal, greater auricular, lesser occipital, greater occipital, and third occipital nerves were performed. A total of 29 mL of levobupivacaine 0.3% was used. No additional local anesthetic agent was given for skull pinning, skin incision, or the craniotomy. Postoperatively, the patient remained pain-free, and she was discharged without complications.

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A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.