Publications by authors named "C Siegmueller"
Article Synopsis
- The study investigates whether bilateral superficial trigeminal nerve blocks can reduce the need for morphine after pituitary adenoma surgery, as postoperative headaches and nausea often lead to longer hospital stays.
- Forty-nine patients were randomly assigned to receive either the nerve block with ropivacaine or a placebo, with the primary focus on morphine use in the first six hours post-surgery.
- Results showed no significant difference in morphine consumption or other secondary outcomes, suggesting that postoperative headaches may have complex causes not addressed by the nerve block intervention.
Patients receiving treatment for a meningioma require anesthesia when undergoing open craniotomy and, in some cases, during preoperative tumor embolization and radiosurgery. Adequate anesthesia management is integral to patients' perioperative care, which consists of the three phases of preoperative assessment and optimization, intraoperative care, and postoperative recovery. The preoperative anesthesia evaluation focusses on the cardiorespiratory and neurologic systems, as well as the airway, but also extends to ensure the optimal treatment of significant comorbidities before surgical intervention.
View Article and Find Full Text PDFStudy Objective: Few studies have compared continuous epidural infusion (CEI) against programmed intermittent epidural bolus (PIEB) epidural analgesia after major abdominal surgery. It has not been established whether the modality of epidural medication administration affects postoperative pain and other patient outcomes. The goal of this study was to compare the efficacy of PIEB against CEI in postoperative pain management after a broad range of surgeries with abdominal incisions, all managed in the context of an established enhanced recovery after surgery (ERAS) pathway.
View Article and Find Full Text PDF