Comparison of two intravenous sedation techniques for percutaneous radio frequency trigeminal rhizotomy. A pilot study

Lynn J. Speedie, Thomas J Toung, Sylvan M. Shane, Gary A. Chase, Nancy Brake, Melvin H. Epstein

Research output: Contribution to journalArticle

Abstract

Conscious sedation, as used in dentistry and oral surgery, has been used satisfactorily to manage patients undergoing the intense pain encountered in radio frequency trigeminal rhizotomy for tic douloureux. The pain produced by this procedure cannot be blocked by local anesthesia. General anesthesia cannot be used because of the need for sensory testing in an awake, cooperative patient. Conscious sedation using alphaprodine, hydroxyzine, methohexital, and intensive behavioral modification was compared with a neuroleptic intravenous sedation technique using droperidol, fentanyl, and thiopental. Patients managed with conscious sedation were found to be more amnestic for the pain of surgery, a difference that persisted six months later.

Original languageEnglish (US)
Pages (from-to)207-210
Number of pages4
JournalAnesthesia Progress
Volume34
Issue number6
StatePublished - Nov 1987

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Rhizotomy
Conscious Sedation
Radio
Pain
Alphaprodine
Hydroxyzine
Methohexital
Trigeminal Neuralgia
Thiopental
Oral Surgery
Local Anesthesia
Dentistry
General Anesthesia
Antipsychotic Agents

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Comparison of two intravenous sedation techniques for percutaneous radio frequency trigeminal rhizotomy. A pilot study. / Speedie, Lynn J.; Toung, Thomas J; Shane, Sylvan M.; Chase, Gary A.; Brake, Nancy; Epstein, Melvin H.

In: Anesthesia Progress, Vol. 34, No. 6, 11.1987, p. 207-210.

Research output: Contribution to journalArticle

Speedie, Lynn J. ; Toung, Thomas J ; Shane, Sylvan M. ; Chase, Gary A. ; Brake, Nancy ; Epstein, Melvin H. / Comparison of two intravenous sedation techniques for percutaneous radio frequency trigeminal rhizotomy. A pilot study. In: Anesthesia Progress. 1987 ; Vol. 34, No. 6. pp. 207-210.
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