Ultrasound-guided third occipital nerve (TON) blocks

Anaesthesia, Pain & Intensive Care Pub Date : 2024-03-02 DOI:10.35975/apic.v28i1.2390

H. Hidayati, Vania Ayu Puspamaniar, Alexander Tikara Sugondo, Fajar Sena Firdausa

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Abstract

Peripheral nerve blocks, including occipital nerve blocks (ONBs), have received increased attention and support as pain management tools during the previous few decades. Researchers have documented usefulness of ONBs particularly for acute headache management in the outpatient setting. The blocks also play a role in other healthcare settings, such as in the emergency department. The potential role of ONBs for the management of acute headache episodes in primary and emergency care settings is not yet fully practiced. In this paper, we will review block techniques of third occipital nerve (TON): indication, medication selection, complications and measures that can help improve safety in this procedure of headache management. Key word: Analgesia, Regional; Headache; Occipital Nerve Block; Occipital Neuralgia; Third Occipital Nerve; Ultrasound-Guide. Citation: Hidayati HB, Puspamaniar VA, Sugondo AT, Firdausa FS. Ultrasound-guided third occipital nerve (TON) blocks. Anaesth. pain intensive care 2024;28(1):166−170; DOI: 10.35975/apic.v28i1.2390 Received: October 13, 2023; Reviewed: October 18, 2023; Accepted: January 02, 2024

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超声引导下的第三枕神经（TON）阻滞

在过去的几十年中，包括枕神经阻滞（ONB）在内的周围神经阻滞作为疼痛治疗工具受到越来越多的关注和支持。研究人员记录了枕神经阻滞的作用，尤其是在门诊环境中治疗急性头痛。在急诊科等其他医疗环境中，阻滞剂也能发挥作用。ONB在初级和急诊护理环境中治疗急性头痛发作的潜在作用尚未得到充分实践。在本文中，我们将回顾第三枕神经（TON）阻滞技术：适应症、药物选择、并发症以及有助于提高头痛治疗安全性的措施。关键词：区域镇痛；头痛；枕神经阻滞；枕神经痛；第三枕神经；超声引导。引用：Hidayati HB, Puspamaniar VA, Sugondo AT, Firdausa FS.超声引导下的第三枕神经（TON）阻滞。Anaesth. pain intensive care 2024; 28(1):166-170; DOI: 10.35975/apic.v28i1.2390 Received：收稿日期：2023 年 10 月 13 日；审稿日期：2023 年 10 月 18 日；接受日期：2023 年 10 月 18 日：收稿日期：2023 年 10 月 13 日；审稿日期：2023 年 10 月 18 日；接受日期：2024 年 1 月 02 日：接受：2024 年 1 月 02 日

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Anaesthesia, Pain & Intensive Care

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