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Microvascular Decompression: Salient Surgical Principles and Technical Nuances
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Microvascular Decompression: Salient Surgical Principles and Technical Nuances

Published on: July 5, 2011

The "hanging technique" of vascular transposition in microvascular decompression for trigeminal neuralgia: technical

Aristotelis P Mitsos1, Nikolaos Georgakoulias, Spiridon A Lafazanos

  • 1Wolfson College, University of Oxford, Oxford, UK. aristotelis.mitsos@wolfson-oxford.com

Neurosurgical Review
|May 13, 2008
PubMed

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
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