Ultrasound-guided trigeminal nerve block for faciomaxillary surgeries

Kumar, Amarjeet; Kumar, Ajeet; Singh, Akhilesh Kumar

doi:10.4103/1658-354x.203033

Cited by 5 publications

(3 citation statements)

References 3 publications

(2 reference statements)

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“…Unlike our findings, Kumar et al (10) discovered no variations in HR between the block and control groups at all time periods. The MAP during extubation was dramatically reduced by trigeminal nerve block.…”

Section: Discussioncontrasting

confidence: 99%

“…The MAP during extubation was dramatically reduced by trigeminal nerve block. The differences between our results and those of Kumar et al (10) may be due to the hourly delivery of fentanyl top-ups (0.5 g/kg) to all the patients under study. In our study, additional fentanyl doses were not routinely given to all subjects; rather, they were only given when there was a 20% rise in either the HR or the MAP.…”

Section: Discussioncontrasting

confidence: 99%

“…Additionally, TNB significantly decreased postoperative nausea and vomiting without causing statistically significant differences between the groups. Similar findings are made by Abdelghafar et al (4) and Kumar et al (10) who noted decreased rates of postoperative problems in patients who received trigeminal nerve block, although without seeing any appreciable differences from the control group. In contrast to USGTNB patients, patients having orthognathic operations under general anesthesia experienced much more vomiting, according to Wang et al (8) research.…”

Section: Discussionsupporting

confidence: 87%

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Safety of Ultrasound-Guided Trigeminal Nerve Block in Maxillofacial Surgery under General Anesthesia

Labib,

Khames,

Abd El-Gawad

et al. 2023

The Egyptian Journal of Hospital Medicine

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Background: Peripheral nerve blocks are being utilized more often, either as a part of multimodal analgesia or even as a substitute for drugs that treat systemic pain. Primary headache problems and secondary headaches have both been successfully treated with peripheral nerve blocks. Objectives: This study aimed to assess safety of ultrasound-guided trigeminal nerve block (USGTNB) in individuals who are receiving general anesthesia and are undergoing unilateral maxillofacial surgery. Methods: This cross-sectional study enrolled 25 adult patients aged more than 18 years, who had American Society of Anesthesiologists physical status I or II and were scheduled for elective unilateral maxillofacial surgery under general anesthesia. Patients received USGTNB using 5 ml of bupivacaine 0.25%. The intraoperative hemodynamic parameters were assessed. Results: More than half of patients were males (64%) with a mean age of 37.28 ± 11.54 years old. Patients had mean duration of surgery of 2.96 ± 0.69 hours, most of them had ASA grade I. Patients had significantly lower HR compared to their baseline values. Patients had significantly lower MAP relative to their initial levels. The total fentanyl consumption was 0.36 ± 0.55 µ/kg. Regarding complications, 12% of patients had headache, 8% had paraesthesia and 4% had nausea\vomiting. Conclusion: ultrasound-guided nerve block is a safe and reliable method for controlling pain in adult patients undergoing maxillofacial surgery with fewer side effects.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussioncontrasting

confidence: 99%