Nerve Block for Septorhinoplasty: A Retrospective Observational Study of Postoperative Complications in 24 Hours

Elsayed, Mohamed; Alosaimy, Razan A; Ali, Nujod Y; Alshareef, Mohammad; Althqafi, Ahmed H; Rajab, Mohannad; Assalem, Abdullah S.; Khiyami, Ahmed J

doi:10.7759/cureus.6961

Cited by 4 publications

(4 citation statements)

References 24 publications

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“…It can dilate blood vessels and improve the blood supply, thereby correcting neurotrophic conditions. At the same time, it can prevent viruses from entering the nervous system by way of retrograde axons, enhance the body's defense functions, and effectively reduce the occurrence of neuralgia (10,11). However, there is some controversy regarding the clinical application of nerve block drugs.…”

Section: Discussionmentioning

confidence: 99%

Effects of different drugs on the curative effect, stress responses, and the circulatory system of patients with hypertensive trigeminal neuralgia

Lin¹,

Liu²,

Jun-mei³

et al. 2021

Ann Palliat Med

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Background: This research aimed to analyze the effects of stellate nerve block with different drugs on the curative effect, stress responses, and the circulatory system of patients with hypertensive trigeminal neuralgia (TN).Methods: A retrospective analysis of 82 patients with hypertensive TN admitted to our hospital from January 2019 to January 2021 was conducted, and the patients were divided into a control group and an observation group according to different drugs. The pain visual analogue scale (VAS) scores were determined between the 2 groups before treatment and at 1, 2, 3, 7, and 30 d after treatment. The mean arterial pressure (MAP) and heart rate (HR) were measured in the 2 groups of patients before treatment and immediately after treatment (T0), half an hour after treatment (T1), 1 h after treatment (T2), and 6 h after treatment (T3).The left ventricular wall thickness (LVWT), left ventricular end systolic volume (LVESV), left ventricular ejection fraction (LVEF), and fraction shortening (FS) were detected in the 2 groups before treatment and at T0-T2. Patient satisfaction was also scored, and the incidence of adverse reactions was assessed. Results:The VAS scores of the 2 groups of patients decreased significantly after treatment at 1, 2, 3, 7, and 30d. The MAP and HR indicators of the 2 groups decreased gradually at T0-T2, and gradually recovered to levels before treatment at the T3 time point. The MAP and HR indicators of the observation group were significantly lower than those of the control group at T0-T2. After treatment, the levels of LVWT, LVESV, LVEF, and FS in the observation group at the T0-T2 time points were significantly lower than those of the control group. Additionally, after treatment, the satisfaction of the observation group was significantly higher than that of the control group. The total incidence of adverse reactions in the observation group was significantly lower than that in the control group.Conclusions: For patients with hypertensive TN, a single ropivacaine stellate nerve block can significantly relieve pain, and has little effect on heart function.

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Section: Discussionmentioning

confidence: 99%

Effects of different drugs on the curative effect, stress responses, and the circulatory system of patients with hypertensive trigeminal neuralgia

Lin¹,

Liu²,

Jun-mei³

et al. 2021

Ann Palliat Med

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“… Comparison of preoperative infraorbital and/or infratrochlear nerve blocks versus placebo: mean difference in postoperative pain score ( A ), standard mean difference in amount of analgesic used ( B ), and odds ratio for frequency of analgesic drug use ( C ) [ 8 , 9 , 10 , 11 , 12 , 13 ]. …”

Section: Figurementioning

confidence: 99%

“…These two peripheral nerve blocks have been reported to facilitate pain management, reduce complications, and reduce anesthetic agent consumption after nasal procedures. Conducting a nerve block of this nerve has been shown to promote effective pain control, reduce complications, and decrease the requirement for anesthetic agents following nasal surgeries [ 8 , 9 , 10 , 11 , 12 , 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of Infraorbital and/or Infratrochlear Nerve Blocks on Postoperative Care in Patients with Septorhinoplasty: A Meta-Analysis

Kim,

Park,

Kim

et al. 2023

Medicina

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Background and Objectives: Through a comprehensive meta-analysis of the pertinent literature, this study evaluated the utility and efficacy of perioperative infraorbital and/or infratrochlear nerve blocks in reducing postoperative pain and related morbidities in patients undergoing septorhinoplasty. Materials and Methods: We reviewed studies retrieved from the PubMed, SCOPUS, Embase, Web of Science, and Cochrane databases up to August 2023. The analysis included a selection of seven articles that compared a treatment group receiving perioperative infraorbital and/or infratrochlear nerve blocks with a control group that either received a placebo or no treatment. The evaluated outcomes covered parameters such as postoperative pain, the amount and frequency of analgesic medication administration, the incidence of postoperative nausea and vomiting, as well as the manifestation of emergence agitation. Results: The treatment group displayed a significant reduction in postoperative pain (mean difference = −1.7236 [−2.6825; −0.7646], I2 = 98.8%), as well as a significant decrease in both the amount (standardized mean difference = −2.4629 [−3.8042; −1.1216], I2 = 93.0%) and frequency (odds ratio = 0.3584 [0.1383; 0.9287], I2 = 59.7%) of analgesic medication use compared to the control. The incidence of emergence agitation (odds ratio = 0.2040 [0.0907; 0.4590], I2 = 0.0%) was notably lower in the treatment group. The incidence of postoperative nausea and vomiting (odds ratio = 0.5393 [0.1309; 2.2218], I2 = 60.4%) showed a trend towards reduction, although it was not statistically significant. While no adverse effects reaching statistical significance were reported in the analyzed studies, hematoma (proportional rate = 0.2133 [0.0905; 0.4250], I2 = 76.9%) and edema (proportional rate = 0.1935 [0.1048; 0.3296], I2 = 57.2%) after blocks appeared at rates of approximately 20%. Conclusions: Infraorbital and/or infratrochlear nerve blocks for septorhinoplasty effectively reduce postoperative pain and emergence agitation without notable adverse outcomes.

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“…Hemodynamic changes and cardiac arrhythmias are not uncommon in clinical practice, depending on including patient features, surgical treatment and drugs administered (1,2). Management in the day surgery clinic is challenging because of fluctuating blood pressures and heart rates, and an attentive approach is required to avoid complications during day plastic surgical treatment (3,4,5,6,7). Local infiltration anesthesia (LIA) with local anesthetic T. Bagatin et al Effect of local infiltration analgesia on hemodynamic function in different surgical procedures in day surgery solutions contains vasoconstrictors that are commonly used and may potentially affect the cardiovascular condition (8).…”

Section: Introductionmentioning

confidence: 99%

Hemodynamic Function in Comparison of Two Types of Local Anesthesia with Vasoconstrictor in Day Surgery: Retrospective Study

Bagatin

2022

ACC

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Hemodynamic changes and cardiac arrhythmias are not uncommon in clinical practice, depending on including patient features, surgical treatment and drugs administered. We describe hemodynamic changes developed in young patients, soon after a local infiltration anesthesia in day surgery.Methods -We retrospectively assessed the hemodynamic effect of 2% lidocaine with 0,0125mg/ml adrenaline (Li & AD) administered for septorhinoplasty in 44 participants and combination of 0.5% bupivacaine and 2% lidocaine with 0.0125mg/ml adrenaline (BLi & AD) for breast augmentation in 48 participants. Blood pressure and heart rate were recorded before the introduction of general anesthesia, immediately 5.10 and 20 minutes after administration of local infiltration, anesthetic (LIA) and data were analyzed.Results -The mean systolic blood pressure (SBP) in all observed measurements before general anesthesia (0), immediately, 5 minutes, 10 minutes and 20 minutes after local infiltration anesthesia was higher among patients who underwent septorinoplasty (Li & AD), in relation to patients who underwent breast augmentation (BLi & AD) (p <05). The level of diastolic blood pressure (DBP) in measurement 20 minutes compared to measurement in 10 minutes was increased by 9,52 mmHg. The septorhinoplasty group showed a significant increase in heart rate measured 20 minutes after local infiltration anesthesia with adrenaline.Conclusions -Measured transitory changes in heart rate and blood pressure after local infiltration of vasoconstrictor anesthetics in healthy patients prior to septorinoplasty and breast augmentation may be induced by endogenous and / or exogenous epinephrine. Bupivacaine solution for local infiltration analgesia reduces hemodynamic disturbances and prolongs analgesic effect. We highlight the need for careful preoperative evaluation, including anxiety assessment and treatment in all patients in day surgery.

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Nerve Block for Septorhinoplasty: A Retrospective Observational Study of Postoperative Complications in 24 Hours

Cited by 4 publications

References 24 publications

Effects of different drugs on the curative effect, stress responses, and the circulatory system of patients with hypertensive trigeminal neuralgia

Effects of different drugs on the curative effect, stress responses, and the circulatory system of patients with hypertensive trigeminal neuralgia

Effect of Infraorbital and/or Infratrochlear Nerve Blocks on Postoperative Care in Patients with Septorhinoplasty: A Meta-Analysis

Hemodynamic Function in Comparison of Two Types of Local Anesthesia with Vasoconstrictor in Day Surgery: Retrospective Study

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