title: [A special technique of neurolept analgesia for thermocoagulation of the gasserian ganglion (author's transl)].
abstract: A special technique of neurolept analgesia for electrocoagulation of the gasserian ganglion is described which has been used since 1974. Induction is by means of Fentanyl and Valium. The dosis is sufficiently low for the patient to remain responsive and co-operative but practically painfree. The actual thermocoagulation is performed in intravenous methohexital sodium anaesthesia. The dosis is kept so low that the patient wakes up within 2--3 minutes and is able to inform the surgeon of the success or failure of the operation. If no relief from pain has been obtained a further 20 mg of methohexital are injected and the operation is repeated.
mesh_terms: D003975:Diazepam / Q000627:therapeutic use; D004564:Electrocoagulation; D005283:Fentanyl / Q000627:therapeutic use; D005724:Ganglia / Q000601:surgery*; D006801:Humans; D008723:Methohexital; D009458:Neuroleptanalgesia / Q000379:methods*; D011292:Premedication; D014277:Trigeminal Neuralgia / Q000601:surgery*
chemical_list: D008723:Methohexital; D003975:Diazepam; D005283:Fentanyl
vernacular_title: Eine spezielle Methode der Neuroleptanalgesie zur Elektrokoagulation des Ganglion Gasseri.