AI Article Synopsis

  • A case study describes the use of ultrasound-guided craniocervical nerve blocks with ropivacaine for anesthesia in an 85-year-old woman undergoing maxillary resection and neck dissection.
  • The patient had multiple medical issues, making traditional pain management with NSAIDs and opioids risky for complications.
  • The nerve blocks effectively provided adequate pain relief during the procedure, reducing the need for more dangerous pain medications post-surgery.

Article 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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328195PMC
http://dx.doi.org/10.2344/anpr-70-02-07DOI Listing

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