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Ear Nerve Block

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1. Ear Nerve Block

Ear Nerve Block Ear Nerve Block Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Ear Nerve Block Ear Nerve Block Aka: Ear Nerve Block (...) , Field Nerve Block of Ear , Ear Field Block II. Physiology: Ear sensory innervation Greater auricular nerve Lesser Auriculotemporal nerve Lesser III. Technique: Field Block Block forms diamond shape encompassing ear Infiltrate with total of 10-20 cc of 1% Insert needle at superior ear aspect, direct inferiorly Infiltrate along ear anterior and superior aspect Infiltrate along ear posterior and superior aspect Insert needle at inferior ear aspect, direct superiorly Infiltrate along ear anterior

2018 FP Notebook

2. Ultrasound-Guided Greater Auricular Nerve Block as Sole Anesthetic for Ear Surgery (Full text)

Ultrasound-Guided Greater Auricular Nerve Block as Sole Anesthetic for Ear Surgery A greater auricular nerve (GAN) block was used as the sole anesthetic for facial surgery in an 80-year-old male patient with multiple comorbidities which would have made general anesthesia challenging. The GAN provides sensation to the ear, mastoid process, parotid gland, and angle of the mandible. In addition to anesthesia for operating room surgery, the GAN block can be used for outpatient or emergency (...) department procedures without the need for a separate anesthesia team. Although this nerve block has been performed using landmark-based techniques, the ultrasound-guided version offers several potential advantages. These advantages include increased reliability of the nerve block, as well as prevention of inadvertent vascular puncture or blockade of the phrenic nerve, brachial plexus, or deep cervical plexus. The increasing access to ultrasound technology for medical care providers outside the operating

2016 Clinics and practice PubMed

3. Continous Popliteal Block for Microvascular Free Flap Reconstruction in Ear, Nose and Throat Surgery

University hospital department of ear, nose and throat surgery undergoing major resection of maxilla or mandible and reconstruction using free fibula graft. Preoperatively able to walk (with or without aid). Exclusion Criteria: Neurological disease or peripheral neuropathy affecting the donor leg of the fibula graft. Conditions of coagulopathy, or treatment with anticoagulant drugs, that contraindicates peripheral nerve block according to local guidelines. Local anesthetic allergy. Inability (...) Continous Popliteal Block for Microvascular Free Flap Reconstruction in Ear, Nose and Throat Surgery Continous Popliteal Block for Microvascular Free Flap Reconstruction in Ear, Nose and Throat Surgery - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please

2018 Clinical Trials

4. Ultrasound-guided Greater Auricular Nerve Block for Emergency Department Ear Laceration and Ear Abscess Drainage. (PubMed)

Ultrasound-guided Greater Auricular Nerve Block for Emergency Department Ear Laceration and Ear Abscess Drainage. Adequate emergency department (ED) anesthesia for painful ear conditions, such as ear lacerations or ear abscesses, can be challenging. Much of the sensory innervation of the ear is supplied from the anterior and posterior branches of the greater auricular nerve (GAN). The GAN is a branch of the superficial cervical plexus, which arises from the C2/C3 spinal roots. The GAN (...) innervation includes most of the helix, antihelix, the lobule, and the skin over the mastoid process and parotid gland. Anesthesia of the GAN is commonly performed in emergency medicine as part of a landmark-based ear "ring" block. Recently, a selective ultrasound-guided GAN block has been described.We report the first cases of ultrasound-guided greater auricular nerve block (UGANB) successfully performed in the ED as the sole procedural anesthesia for both an ear laceration and abscess drainage

2015 Journal of Emergency Medicine

5. Comparative Study of Superficial Cervical Plexus Block and Nerve of Arnold Block and Incidence of PONV for Inner Ear Surgery

Comparative Study of Superficial Cervical Plexus Block and Nerve of Arnold Block and Incidence of PONV for Inner Ear Surgery Comparative Study of Superficial Cervical Plexus Block and Nerve of Arnold Block and Incidence of PONV for Inner Ear Surgery - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached (...) the maximum number of saved studies (100). Please remove one or more studies before adding more. Comparative Study of Superficial Cervical Plexus Block and Nerve of Arnold Block and Incidence of PONV for Inner Ear Surgery The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02724033 Recruitment Status

2015 Clinical Trials

6. Description of a new approach for great auricular and auriculotemporal nerve blocks: A cadaveric study in foxes and dogs (Full text)

Description of a new approach for great auricular and auriculotemporal nerve blocks: A cadaveric study in foxes and dogs Otitis externa is a painful condition that may require surgical intervention in dogs. A balanced analgesia protocol should combine systemic analgesic agents and local anaesthesia techniques. The aim of the study was to find anatomical landmarks for the great auricular and the auriculotemporal nerves that transmit nociceptive information from the ear pinna and to develop (...) the optimal technique for a nerve block. The study consisted of two phases. In phase I, one fox cadaver was used for dissection and anatomical localization of the auricular nerves to derive landmarks for needle insertion. Eight fox cadavers were subsequently used to evaluate the accuracy of the technique by injecting methylene blue bilaterally. In phase II findings from phase I were applied in four Beagle canine cadavers. A block was deemed successful if more than 0.6 cm of the nerve's length was stained

2018 Veterinary Medicine and Science PubMed

7. Anterior Ethmoidal Nerve Block in Prevention of Postoperative Agitation

, 2018 See Sponsor: Lumbini Medical College Information provided by (Responsible Party): Lumbini Medical College Study Details Study Description Go to Brief Summary: Postoperative agitation is an important complication of general anesthesia, moreover, it has been found with high incidence in ear, nose, throat (ENT) surgeries. We aim to study whether anterior ethmoidal nerve block will be successful in reducing postoperative agitation in those patients. Study population will be randomized into two (...) Anterior Ethmoidal Nerve Block in Prevention of Postoperative Agitation Anterior Ethmoidal Nerve Block in Prevention of Postoperative Agitation - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Anterior

2018 Clinical Trials

8. A Comparison Between Scalp Nerve Block and Scalp Infiltration

and was then gradually withdrawn with simultaneous injection of solutions throughout the entire. The zygomaticotemporal nerve emerge lateral to the orbit, equal to the position of pterion, this nerve was blocked with ropivacaine. The auriculotemporal nerve was blocked bilaterally anterior to the ear at the level of the tragus, the needle was introduced perpendicularly to the skin and infiltration was performed deep to the fascia and superficially as the needle was withdrawn. Care must be taken to avoid destroying (...) A Comparison Between Scalp Nerve Block and Scalp Infiltration A Comparison Between Scalp Nerve Block and Scalp Infiltration - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. A Comparison Between Scalp Nerve

2017 Clinical Trials

9. A case report of complex auricular neuralgia treated with the great auricular nerve and facet blocks (Full text)

A case report of complex auricular neuralgia treated with the great auricular nerve and facet blocks The great auricular nerve is a cutaneous branch of the cervical plexus originating from the C2 and C3 spinal nerves. It innervates the skin over the external ear, the angle of the mandible and the parotid gland. It communicates with the ansa cervicalis. Great auricular neuralgia is rarely diagnosed in clinical practice and can be refractory. We present a new approach using ultrasound-guided (...) nerve blocks.We present a case of a 41-year-old female with paroxysmal ear pain accompanied by dysautonomia, tingling in the tongue, dysphagia, dysarthria and abdominal symptoms. No significant findings were found on cervical and brain imaging. The patient responded partially to a great auricular nerve block. A combined approach using this block with facet block of C2 and C3 induced a more pronounced and prolonged benefit.Great auricular neuralgia is not often encountered in practice and can

2017 Journal of pain research PubMed

10. Lip Nerve Block

, Field Nerve Block of Lip , Lip Field Block II. Physiology: Ear sensory innervation Greater auricular nerve Lesser Auriculotemporal nerve Lesser III. Technique: Field Block Upper lip block Start at the angle of mouth and direct needle toward the nasal ala on the same side Inject up to 5 ml 1% along the line from the angle to the nasal ala Repeat the process from the angle of the mouth on the opposite side Lower lip block Start at the mentum of the chin directed at one angle of the mouth Inject up (...) Lip Nerve Block Lip Nerve Block Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Lip Nerve Block Lip Nerve Block Aka: Lip Nerve Block

2018 FP Notebook

11. Effect of Infraorbital and Infratrochlear Nerve Block on Emergence Agitation in Patients Undergoing Septorhinoplasty

in preventing emergence agitation. Condition or disease Intervention/treatment Phase Emergence Agitation Pain Drug: Normal Saline Drug: Ropivacaine Phase 4 Detailed Description: Emergence agitation is a postanesthetic phenomenon characterized as confusion, disorientation and violent behavior. Although its etiology is not well understood, risk factors associated with the condition include pain and ENT (ear, nose and throat) surgery. Bilateral infraorbital and infratrochlear nerve block in patients undergoing (...) Effect of Infraorbital and Infratrochlear Nerve Block on Emergence Agitation in Patients Undergoing Septorhinoplasty Effect of Infraorbital and Infratrochlear Nerve Block on Emergence Agitation in Patients Undergoing Septorhinoplasty - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number

2016 Clinical Trials

12. Postoperative pain control by preventive intercostal nerve block under direct vision followed by catheter-based infusion of local analgesics in rib cartilage harvest for auricular reconstruction in children with microtia: A randomized controlled trial. (PubMed)

Postoperative pain control by preventive intercostal nerve block under direct vision followed by catheter-based infusion of local analgesics in rib cartilage harvest for auricular reconstruction in children with microtia: A randomized controlled trial. Children with microtia complain of severe postoperative pain during early postoperative days after rib cartilage harvest for auricular reconstruction. The purpose of this study was to evaluate the effects of preventive donor site wound analgesia (...) by intercostal nerve block (ICNB) and catheter-based infusion of local analgesics on postoperative pain after rib cartilage graft for auricular reconstruction in children with microtia.In this prospective randomized study, 66 children underwent postoperative pain control using either preventive ICNB followed by catheter-based infusion (33 patients, study group) or intravenous (IV) analgesia alone (33 patients, control group). ICNB was performed under direct vision by the surgeon by injecting 0.5% bupivacaine

2016 Journal of plastic, reconstructive & aesthetic surgery : JPRAS

13. Clinical question: Is the Bier Block safe and effective analgesia in the ED?

of overdose (metallic taste in mouth or ringing in ears), or unable to tolerate tourniquet discomfort or procedures that will last more than 60-90 minutes are inappropriate for the BB technique, however most procedures do not last more than 30-60 minutes. 1 The benefits of the Bier block include: rapid recovery time, fast and reliable onset of anaesthesia, a low failure rate, simple technical requirements (ability to perform a venipuncture) and the procedure can be performed regardless of fasting status (...) . The procedure is contraindicated in patients with Raynaud’s disease, those with crush injuries, and those with homozygous sickle cell disease. The mechanism of action is controversial, but it is believed that it is a two-step mechanism involving an initial binding of anaesthetic to local nerve endings inhibiting the transmission of nerve impulses and later a blockade of nerve tracts as the anaesthesia penetrates from superficial to deeper veins. 1 Are Bier Blocks effective? A study comparing BB

2017 CandiEM

14. Active middle ear implants for sensorineural hearing loss

and speech perception discrimination scores) and cannot wear conventional hearing aids for a variety of medical reasons. These may include (but are not limited to) conditions such as chronic otitis externa, psoriasis, exostosis of the ear canal , persistent excessive cerumen blocking the ear canal, absent or deformed pinnae following skin cancer, unusual morphology affecting the ear canal, or pinna that prevent the use of conventional hearing aids. These patients are ineligible for a CI (which (...) the evaluation to other the partially implanted devices; as well as fully implantable middle ear devices. 10. Comparative safety Overall, there is wide variability in reporting of adverse outcomes by the included studies of AMEIs. This may be attributed to the surgical techniques used and the devices implanted. 7 The sensation of aural fullness and taste disturbance or damage to the chorda tympani nerve were the most commonly experienced adverse events. Most adverse events were relatively rare and of low

2015 Medical Services Advisory Committee

15. Ear Nerve Block

Ear Nerve Block Ear Nerve Block Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Ear Nerve Block Ear Nerve Block Aka: Ear Nerve Block (...) , Field Nerve Block of Ear , Ear Field Block II. Physiology: Ear sensory innervation Greater auricular nerve Lesser Auriculotemporal nerve Lesser III. Technique: Field Block Block forms diamond shape encompassing ear Infiltrate with total of 10-20 cc of 1% Insert needle at superior ear aspect, direct inferiorly Infiltrate along ear anterior and superior aspect Infiltrate along ear posterior and superior aspect Insert needle at inferior ear aspect, direct superiorly Infiltrate along ear anterior

2015 FP Notebook

16. CRACKCast E105 – Brain and Cranial Nerve Disorders

= Carbamazapine 100mg PO BID. Other options: Phenytoin Baclofen Valproate sodium Lamotrigine Gabapentin Levetiracetam Disposition: Neurology with +/- Neurosurgery or ENT consult if surgical decompression is required [4] Facial nerve paralysis: List 6 differential diagnoses for facial (CN VII) paralysis Bell’s palsy Ramsey Hunt syndrome (herpes zoster oticus) Lyme disease (neuroborreliosis) Bacterial infections of the middle ear, mastoid, or external auditory canal Guillain-Barré syndrome HIV infection Tumor (...) of neurologic symptoms in multiple sclerosis (MS) and other neurological, demyelinating conditions when the body gets overheated from hot weather, exercise, fever, or saunas and hot tubs. It is possibly due to the effect of increased temperature on nerve conduction. With an increased body temperature, nerve impulses are either blocked or slowed down in a damaged nerve but once the body temperature is normalized, signs and symptoms may disappear or improve.” [11] List 10 clinical symptoms of MS, describe its

2017 CandiEM

17. Timing of reversal with respect to three nerve stimulator end-points from cisatracurium-induced neuromuscular block. (Full text)

Timing of reversal with respect to three nerve stimulator end-points from cisatracurium-induced neuromuscular block. After elective ear surgery with cisatracurium neuromuscular blockade, 48 adults were randomly assigned to receive neostigmine: (a) at appearance of the fourth twitch of a 'train-of-four'; (b) at loss of fade to train-of-four; or (c) at loss of fade to double-burst stimulation, all monitored using a TOF-Watch SX® on one arm. For each of these conditions, the recovery from train

2015 Anaesthesia PubMed

18. Transcutaneous stimulation of the cervical branch of the vagus nerve for cluster headache and migraine

that are refractory to medical treatments. For patients with chronic cluster headache, these include deep brain stimulation to modulate central processing of pain signals. For patients with chronic migraine, these include treatments such as nerve blocks, botulinum toxin (see NICE's technology appraisal guidance on botulinum toxin type A for the prevention of headaches in adults with chronic migraine), acupuncture or nerve stimulation. 3 3 The procedure The procedure 3.1 Transcutaneous vagus nerve stimulation uses (...) Transcutaneous stimulation of the cervical branch of the vagus nerve for cluster headache and migraine T T r ranscutaneous stimulation of the cervical anscutaneous stimulation of the cervical br branch of the vagus nerv anch of the vagus nerve for cluster headache e for cluster headache and migr and migraine aine Interventional procedures guidance Published: 23 March 2016 nice.org.uk/guidance/ipg552 Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived

2016 National Institute for Health and Clinical Excellence - Interventional Procedures

19. Nerve Block, Sural

Nerve Block, Sural Sural Nerve Block: Overview, Periprocedural Care, Technique Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODMxOTktb3ZlcnZpZXc= processing > Sural Nerve Block Updated: Dec 27, 2017 Author (...) : Joshua J Solano, MD; Chief Editor: Meda Raghavendra (Raghu), MD Share Email Print Feedback Close Sections Sections Sural Nerve Block Overview Overview Background Practitioners in the emergency department frequently encounter patients who have sustained trauma to the lower leg or foot and require anesthesia for repair. The regional sural nerve block allows for rapid anesthetization of the posterolateral calf and laterodorsal foot, including part of the dorsal fifth digit. Regional blocks have several

2014 eMedicine.com

20. Nerve Block, Posterior Tibial

Nerve Block, Posterior Tibial Posterior Tibial Nerve Block: Overview, Periprocedural Care, Technique Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODMxMzUtb3ZlcnZpZXc= processing > Posterior Tibial Nerve Block (...) Updated: Jun 14, 2018 Author: Heather Tassone, DO; Chief Editor: Meda Raghavendra (Raghu), MD Share Email Print Feedback Close Sections Sections Posterior Tibial Nerve Block Overview Overview Background Posterior tibial nerve block allows for rapid anesthetization of the heel and plantar regions of the foot. Practitioners in the emergency department frequently encounter patients who have sustained trauma to the sole of the foot and require regional anesthesia for repair. However, this tender area

2014 eMedicine.com

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