A new method of continuous maxillary nerve block with an indwelling catheter.
OBJECTIVE
We describe continuous maxillary nerve block at the pterygopalatine fossa and investigate the efficacy of this technique for perioperative pain control in oral surgery.


METHODS
Sixteen patients undergoing radical maxillary sinusotomy were enrolled; group I (n = 8) received general anesthesia without maxillary nerve block, and group II (n = 8) received maxillary nerve block before general anesthesia. The intraoperative concentration of sevoflurane, the extent of blockade, and total analgesics (diclofenac sodium) needed after surgery were recorded.


RESULTS
The mean sevoflurane concentration was significantly lower in group II. Diclofenac sodium consumption was significantly reduced in group II.


CONCLUSIONS
Indwelling maxillary nerve catheter methods decrease anesthetic consumption and provide good postoperative analgesia.
Kohase
Hikaru
H
Section of Anethesiology and Clinical Physiology, Department of Oral Restitution, Graduate School, Tokyo Medical and Dental University, Japan.
Miyamoto
Tomoyuki
T
Umino
Masahiro
M
D000328:Adult; D000368:Aged; D018712:Analgesics, Non-Narcotic / Q000008:administration & dosage / Q000627:therapeutic use; D000768:Anesthesia, General; D018685:Anesthetics, Inhalation / Q000008:administration & dosage; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage / Q000627:therapeutic use; D001794:Blood Pressure / Q000187:drug effects; D002045:Bupivacaine / Q000008:administration & dosage / Q000627:therapeutic use; D002408:Catheters, Indwelling; D004008:Diclofenac / Q000008:administration & dosage / Q000627:therapeutic use; D006339:Heart Rate / Q000187:drug effects; D006801:Humans; D007430:Intraoperative Care; D008012:Lidocaine / Q000008:administration & dosage; D008442:Maxillary Nerve / Q000187:drug effects; D008443:Maxillary Sinus / Q000601:surgery; D008738:Methyl Ethers / Q000008:administration & dosage; D008875:Middle Aged; D009407:Nerve Block / Q000295:instrumentation / Q000379:methods*; D010146:Pain / Q000517:prevention & control; D010149:Postoperative Pain / Q000517:prevention & control; D012677:Sensation / Q000187:drug effects; D000077149:Sevoflurane; D013100:Sphenoid Bone / Q000294:innervation; D013223:Statistics as Topic
D018712:Analgesics, Non-Narcotic; D018685:Anesthetics, Inhalation; D000779:Anesthetics, Local; D000894:Anti-Inflammatory Agents, Non-Steroidal; D008738:Methyl Ethers; D004008:Diclofenac; D000077149:Sevoflurane; D008012:Lidocaine; D002045:Bupivacaine