A new method of continuous maxillary nerve block with an indwelling catheter.

Abstract

OBJECTIVE:

We describe continuous maxillary nerve block at the pterygopalatine fossa and investigate the efficacy of this technique for perioperative pain control in oral surgery.

STUDY DESIGN:

Sixteen patients undergoing radical maxillary sinusotomy were enrolled; group I (n = 8) received general anesthesia without maxillary nerve block, and group II (n = 8) received maxillary nerve block before general anesthesia. The intraoperative concentration of sevoflurane, the extent of blockade, and total analgesics (diclofenac sodium) needed after surgery were recorded.

RESULTS:

The mean sevoflurane concentration was significantly lower in group II. Diclofenac sodium consumption was significantly reduced in group II.

CONCLUSION:

Indwelling maxillary nerve catheter methods decrease anesthetic consumption and provide good postoperative analgesia.

• Authors: Hikaru Kohase, Tomoyuki Miyamoto, Masahiro Umino
• Journal: Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics (Oral Surg Oral Med Oral Pathol Oral Radiol Endod) Vol. 94 Issue 2 Pg. 162-6 (Aug 2002) ISSN: 1079-2104 [Print] United States
• PMID: 12221382 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Analgesics, Non-Narcotic
• Anesthetics, Inhalation
• Anesthetics, Local
• Anti-Inflammatory Agents, Non-Steroidal
• Methyl Ethers
• Diclofenac
• Sevoflurane
• Lidocaine
• Bupivacaine

Topics

• Adult
• Aged
• Analgesics, Non-Narcotic (administration & dosage, therapeutic use)
• Anesthesia, General
• Anesthetics, Inhalation (administration & dosage)
• Anesthetics, Local (administration & dosage, therapeutic use)
• Anti-Inflammatory Agents, Non-Steroidal (administration & dosage, therapeutic use)
• Blood Pressure (drug effects)
• Bupivacaine (administration & dosage, therapeutic use)
• Catheters, Indwelling
• Diclofenac (administration & dosage, therapeutic use)
• Heart Rate (drug effects)
• Humans
• Intraoperative Care
• Lidocaine (administration & dosage)
• Maxillary Nerve (drug effects)
• Maxillary Sinus (surgery)
• Methyl Ethers (administration & dosage)
• Middle Aged
• Nerve Block (instrumentation, methods)
• Pain (prevention & control)
• Pain, Postoperative (prevention & control)
• Sensation (drug effects)
• Sevoflurane
• Sphenoid Bone (innervation)
• Statistics as Topic