The clinical application of scalp nerve block combined with target-controlled infusion in neurosurgical anesthesia
10.3760/cma.j.issn.1008-1372.2014.12.009
- VernacularTitle:神经阻滞联合靶控输注技术在开颅手术麻醉中的应用
- Author:
Fujiao KONG
;
Yongqiu XIE
;
Xiaoting TANG
;
Fan LIU
;
Qulian GUO
- Publication Type:Journal Article
- Keywords:
Nerve block;
Neurosurgical procedures;
Propofol/administration & dosage;
Fentanyl/administration & dosage;
Anesthesia,intravenous/methods;
Infusion pumps;
Amides/administration & dosage
- From:
Journal of Chinese Physician
2014;16(12):1617-1620
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical application of scalp nerve block combined with target-controlled infusion in neurosurgical anesthesia.Methods 40 adult patients undergoing frontotemporal craniotomies were randomly divided into the ropivacaine scalp nerve block group (group R) and control group (group C).The patients in group R received scalp nerve block with 0.5％ ropivacaine before induction while those in group C didnt.We used propofol and remifentanil in target-controlled infusion and atracurium in constant infusion to maintain anesthesia.The heart rate(HR),mean arterial pressure (MAP),bispectral index (BIS) of different time,usage of propofol and remifentanil,extubation time,visual analogue scale,and complication were recorded.Results Both groups had stable hemodynamics.The usage of remifentanil in group R was less than that of group C (t =11.10,P ＜ 0.01).The difference of extubation time,usage of propofol,and incidence of complications were not statistically significant (P ＞ 0.05).The difference of visual analog scale (VAS) (2 hour and 6 hour after operation) was statistically significant (t =5.02,4.60,P ＜0.O1).Conclusions Scalp nerve block combined with target-controlled infusion is simple with less usage of remifentanil and better analgesic effect.
