The Experts below are selected from a list of 60 Experts worldwide ranked by ideXlab platform
Hyun Jin Shin - One of the best experts on this subject based on the ideXlab platform.
-
Effects of an Infratrochlear Nerve block on reducing the oculocardiac reflex during strabismus surgery: a randomized controlled trial
Graefe's Archive for Clinical and Experimental Ophthalmology, 2018Co-Authors: Hyun Jin ShinAbstract:Purpose To determine whether an Infratrochlear Nerve block (ITB) can reduce the oculocardiac reflex (OCR) during strabismus surgery on the medial rectus muscle (MR). Methods This prospective, randomized single-masked study included 60 patients with intermittent exotropia scheduled for unilateral MR resection/lateral rectus recession under general anesthesia. Patients were randomly allocated to receive a regional Nerve block of the Infratrochlear Nerve (ITB group) prior to surgery or standard treatment without a Nerve block (control group). The OCR was defined as a sudden decrease in heart rate of ≥ 15% from baseline. Changes in heart rate (HR) and the incidence of the OCR were measured during the three stages of surgery applied to the MR in each group: conjunctival incision, muscle dissection, and muscle traction. Results There were no intergroup differences in patient demographics or baseline HR. The mean HRs during conjunctival incision, muscle dissection, and muscle traction were 94, 90, and 96 bpm, respectively, in the ITB group, and 85, 68, and 84 bpm in the control group; the corresponding OCR incidence rates were 3, 20, and 10%; and 7, 87, and 38%. The HR was higher and the OCR incidence was lower in the ITB group than in the control group during muscle dissection and traction (all p
-
effects of an Infratrochlear Nerve block on reducing the oculocardiac reflex during strabismus surgery a randomized controlled trial
Graefes Archive for Clinical and Experimental Ophthalmology, 2018Co-Authors: Hyun Jin ShinAbstract:Purpose To determine whether an Infratrochlear Nerve block (ITB) can reduce the oculocardiac reflex (OCR) during strabismus surgery on the medial rectus muscle (MR).
Sang Hyun Hong - One of the best experts on this subject based on the ideXlab platform.
-
effects of bilateral infraorbital and Infratrochlear Nerve block on emergence agitation after septorhinoplasty a randomized controlled trial
Journal of Clinical Medicine, 2019Co-Authors: Hoon Choi, Seung Ho Jung, Jin Myung Hong, Sang Hyun HongAbstract:Emergence agitation is common after septorhinoplasty, and postoperative pain is the main risk factor for this condition. Infraorbital and Infratrochlear Nerve block have been reported to facilitate pain management in patients after nasal procedures. The effect of peripheral Nerve block on the incidence of emergence agitation has not been evaluated. Sixty-six patients that were scheduled for septorhinoplasty were assigned to receive bilateral infraorbital and Infratrochlear Nerve block with either 8 mL of 0.5% ropivacaine (Block group) or isotonic saline (Sham Block group). The incidence of emergence agitation was evaluated using the Riker sedation-agitation scale. Analgesic consumption, hemodynamic parameters, postoperative pain scores, adverse events, and patient satisfaction with analgesia were evaluated. The incidence of emergence agitation was lower in the Block group than in the Sham Block group (6 (20.0%) versus 20 (62.5%), p = 0.002). The mean intraoperative remifentanil consumption was lower in the Block group than in the Sham Block group (0.074 ± 0.014 μg/kg/min. versus 0.093 ± 0.019 μg/kg/min., respectively, p < 0.0001), as was the proportion of patients that needed postoperative tramadol administration and median postoperative pain score at 0–2 h after surgery (9 (30.0%) versus 21 (65.6%), p = 0.011; 3.0 (2.0–4.0) versus 4.0 (3.0–4.0), p < 0.0001, respectively). Hemodynamic parameters and the incidence of adverse events were similar between the two groups. The median patient satisfaction score with respect to analgesia was higher in the Block group than in the Sham Block group (3.5 (3.0–4.0) versus 3.0 (3.0–4.0), respectively, p = 0.034). The preoperative bilateral infraorbital and Infratrochlear Nerve block decreased the incidence of emergence agitation after septorhinoplasty.
Rocionur Villarquiles - One of the best experts on this subject based on the ideXlab platform.
-
Infratrochlear neuralgia a prospective series of seven patients treated with Infratrochlear Nerve blocks
Cephalalgia, 2018Co-Authors: Rocionur Villarquiles, Hector Garciamoreno, Diego Mayo, Alvaro Gutierrezviedma, Mariaisabel Ramos, Javier CasaslimonAbstract:BackgroundInfratrochlear neuralgia is a recently described painful cranial neuropathy that causes pain in the internal angle of the orbit and the medial upper eyelid, the upper bridge of the nose and/or the lacrimal caruncle. We aim to present seven new cases of Infratrochlear neuralgia treated with anaesthetic Nerve blocks.MethodsOver an 18-month period, we prospectively identified seven cases of Infratrochlear neuralgia among the patients attending the Headache Unit in a tertiary hospital. Anaesthetic blocks were performed by injecting 0.5 cc of bupivacaine 0.5% at the emergence of the Nerve above the internal canthus.ResultsAll patients were women, and the mean age was 49.1 years (standard deviation, 17.9). The pain appeared at the internal angle of the orbit and/or the medial upper eyelid in six cases, and the whole territory of the Infratrochlear Nerve in one case. Six patients had continuous pain and one had episodes lasting 8–24 hours. All patients showed sensory disturbances within the painful are...
Hoon Choi - One of the best experts on this subject based on the ideXlab platform.
-
effects of bilateral infraorbital and Infratrochlear Nerve block on emergence agitation after septorhinoplasty a randomized controlled trial
Journal of Clinical Medicine, 2019Co-Authors: Hoon Choi, Seung Ho Jung, Jin Myung Hong, Sang Hyun HongAbstract:Emergence agitation is common after septorhinoplasty, and postoperative pain is the main risk factor for this condition. Infraorbital and Infratrochlear Nerve block have been reported to facilitate pain management in patients after nasal procedures. The effect of peripheral Nerve block on the incidence of emergence agitation has not been evaluated. Sixty-six patients that were scheduled for septorhinoplasty were assigned to receive bilateral infraorbital and Infratrochlear Nerve block with either 8 mL of 0.5% ropivacaine (Block group) or isotonic saline (Sham Block group). The incidence of emergence agitation was evaluated using the Riker sedation-agitation scale. Analgesic consumption, hemodynamic parameters, postoperative pain scores, adverse events, and patient satisfaction with analgesia were evaluated. The incidence of emergence agitation was lower in the Block group than in the Sham Block group (6 (20.0%) versus 20 (62.5%), p = 0.002). The mean intraoperative remifentanil consumption was lower in the Block group than in the Sham Block group (0.074 ± 0.014 μg/kg/min. versus 0.093 ± 0.019 μg/kg/min., respectively, p < 0.0001), as was the proportion of patients that needed postoperative tramadol administration and median postoperative pain score at 0–2 h after surgery (9 (30.0%) versus 21 (65.6%), p = 0.011; 3.0 (2.0–4.0) versus 4.0 (3.0–4.0), p < 0.0001, respectively). Hemodynamic parameters and the incidence of adverse events were similar between the two groups. The median patient satisfaction score with respect to analgesia was higher in the Block group than in the Sham Block group (3.5 (3.0–4.0) versus 3.0 (3.0–4.0), respectively, p = 0.034). The preoperative bilateral infraorbital and Infratrochlear Nerve block decreased the incidence of emergence agitation after septorhinoplasty.
Javier Casaslimon - One of the best experts on this subject based on the ideXlab platform.
-
Infratrochlear neuralgia a prospective series of seven patients treated with Infratrochlear Nerve blocks
Cephalalgia, 2018Co-Authors: Rocionur Villarquiles, Hector Garciamoreno, Diego Mayo, Alvaro Gutierrezviedma, Mariaisabel Ramos, Javier CasaslimonAbstract:BackgroundInfratrochlear neuralgia is a recently described painful cranial neuropathy that causes pain in the internal angle of the orbit and the medial upper eyelid, the upper bridge of the nose and/or the lacrimal caruncle. We aim to present seven new cases of Infratrochlear neuralgia treated with anaesthetic Nerve blocks.MethodsOver an 18-month period, we prospectively identified seven cases of Infratrochlear neuralgia among the patients attending the Headache Unit in a tertiary hospital. Anaesthetic blocks were performed by injecting 0.5 cc of bupivacaine 0.5% at the emergence of the Nerve above the internal canthus.ResultsAll patients were women, and the mean age was 49.1 years (standard deviation, 17.9). The pain appeared at the internal angle of the orbit and/or the medial upper eyelid in six cases, and the whole territory of the Infratrochlear Nerve in one case. Six patients had continuous pain and one had episodes lasting 8–24 hours. All patients showed sensory disturbances within the painful are...