PDF(Pubmed)
Abstract：
We report a case of ultrasound-guided craniocervical nerve blocks performed with ropivacaine for perioperative local/regional anesthesia in a patient who underwent right partial maxillary resection and neck dissection under general anesthesia. The patient was an 85-year-old woman with multiple medical comorbidities in whom analgesia using nonsteroidal anti-inflammatory drugs and opioids was expected to increase the risk of postoperative complications. Bilateral ultrasound-guided maxillary (V2) nerve blocks and a right superficial cervical plexus block were performed, which provided adequate perioperative anesthesia and avoided postoperative complications. The use of ultrasound-guided craniocervical nerve blocks with ropivacaine can be an effective approach for providing prolonged perioperative local anesthesia and analgesia, minimizing the need for other potentially problematic analgesics.
摘要：
我们报告了一例在全身麻醉下接受右上颌部分切除术和颈部清扫术的患者，使用罗哌卡因进行超声引导的颅颈神经阻滞用于围手术期局部/区域麻醉。该患者是一名85岁的女性，患有多种医学合并症，其中使用非甾体类抗炎药和阿片类药物进行镇痛有望增加术后并发症的风险。进行双侧超声引导的上颌（V2）神经阻滞和右侧浅颈丛阻滞，提供了充分的围手术期麻醉，避免了术后并发症。使用超声引导的颅颈神经阻滞与罗哌卡因可以提供延长围手术期局部麻醉和镇痛的有效方法。最大限度地减少对其他潜在有问题的镇痛药的需求。
