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Volume 10
Issue 8
10.3390/children10081374
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Brief Report

Ultrasound-Guided Occipital Nerve Blocks as Part of Multi-Modal Perioperative Analgesia in Pediatric Posterior Craniotomies: A Case Series

by
Jordan I. Gaelen
*,
Michael R. King
,
John Hajduk
,
Angelica Vargas
,
David J. Krodel
,
Ravi D. Shah
and
Hubert A. Benzon
Department of Pediatric Anesthesiology, Ann and Robert H. Lurie Children’s Hospital of Chicago, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA
*
Author to whom correspondence should be addressed.
Children 2023, 10(8), 1374; https://doi.org/10.3390/children10081374
Submission received: 16 June 2023 / Revised: 17 July 2023 / Accepted: 9 August 2023 / Published: 11 August 2023
(This article belongs to the Special Issue State-of-Art in Pediatric Anesthesia)
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Abstract

Various regional anesthetics have been used for postoperative analgesia for pediatric craniotomy. In this case series, we report retrospectively collected data on postoperative pain and analgesic use in 44 patients who received ultrasound-guided occipital nerve blocks in addition to intravenous analgesic agents for posterior craniotomy procedures. In the immediate post-anesthesia care unit, pain was rated as zero or well controlled in 77% of patients, with only 43% requiring intravenous or demand patient-controlled analgesia opioids. There were no block-related complications. Occipital nerve blocks may constitute a safe and effective component of multimodal analgesia in this population.
Keywords: pediatrics; occipital nerve block; anesthesia; posterior craniotomy; postoperative analgesia; regional anesthesia pediatrics; occipital nerve block; anesthesia; posterior craniotomy; postoperative analgesia; regional anesthesia

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MDPI and ACS Style

Gaelen, J.I.; King, M.R.; Hajduk, J.; Vargas, A.; Krodel, D.J.; Shah, R.D.; Benzon, H.A. Ultrasound-Guided Occipital Nerve Blocks as Part of Multi-Modal Perioperative Analgesia in Pediatric Posterior Craniotomies: A Case Series. Children 2023, 10, 1374. https://doi.org/10.3390/children10081374

AMA Style

Gaelen JI, King MR, Hajduk J, Vargas A, Krodel DJ, Shah RD, Benzon HA. Ultrasound-Guided Occipital Nerve Blocks as Part of Multi-Modal Perioperative Analgesia in Pediatric Posterior Craniotomies: A Case Series. Children. 2023; 10(8):1374. https://doi.org/10.3390/children10081374

Chicago/Turabian Style

Gaelen, Jordan I., Michael R. King, John Hajduk, Angelica Vargas, David J. Krodel, Ravi D. Shah, and Hubert A. Benzon. 2023. "Ultrasound-Guided Occipital Nerve Blocks as Part of Multi-Modal Perioperative Analgesia in Pediatric Posterior Craniotomies: A Case Series" Children 10, no. 8: 1374. https://doi.org/10.3390/children10081374

APA Style

Gaelen, J. I., King, M. R., Hajduk, J., Vargas, A., Krodel, D. J., Shah, R. D., & Benzon, H. A. (2023). Ultrasound-Guided Occipital Nerve Blocks as Part of Multi-Modal Perioperative Analgesia in Pediatric Posterior Craniotomies: A Case Series. Children, 10(8), 1374. https://doi.org/10.3390/children10081374

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