Regional Anesthesia in a Very Low-Birth-Weight Neonate for a Neurosurgical Procedure

Head and neck blocks in infants, children, and adolescents

“…Frontal craniotomy, ventriculoperitoneal shunt, Omayya reservoir placement, dermatologic procedures (2)(3)(4).…”

“…Posterior fossa craniotomy (3,4) occipital neuralgia (12), migraine headaches, and cervicogenic headaches (13).…”

Regional anesthesia for head and neck neurosurgical procedures: a narrative review in adult and pediatric patients

“…Lower doses and volumes are advised in children younger than 6 months due to decreased protein binding from reduced plasma alpha 1-acid glycoprotein levels 64 . Suresh and Bellig safely utilized a combination of supraorbital, great auricular, and greater occipital nerve blocks in a very low-birth-weight neonate (700 g) to provide hemodynamic stability for a neurosurgical procedure 65 . Typical choices of LA include 2 to 3 mg/kg of 0.25% bupivacaine, 0.25% levobupivacaine, or 0.2% ropivacaine with 2.5 μg/mL of epinephrine 66 .…”

“…64 Suresh and Bellig safely utilized a combination of supraorbital, great auricular, and greater occipital nerve blocks in a very low-birth-weight neonate (700 g) to provide hemodynamic stability for a neurosurgical procedure. 65 Typical choices of LA include 2 to 3 mg/kg of 0.25% bupivacaine, 0.25% levobupivacaine, or 0.2% ropivacaine with 2.5 μg/mL of epinephrine. 66 In smaller children, 0.125% bupivacaine with 1:400,000 epinephrine for scalp infiltration may be more beneficial due to the multiple injection points required for performing scalp infiltration.…”

Trigeminal nerve block under the ultrasound control in the pain medicine

“…В последнее время в изучении боли предложен интегративный биопсихосоциальный подход. Воспаление тройничного нерва -одна из древнейших болезней, и в то же время она приносит одну из самых мучительных болей, известных человечеству [5,11]. Ее знают под разными названиями: болевой тик Труссо, болезнь Фозергиля, тригеминальная невралгия [1,6,27].…”