Sterile Silicone Studs–A Nonpharmacologic Modality for Prevention of Hemodynamic Response to Skull Pin Insertion: A Pilot Study
World Neurosurgery, ISSN: 1878-8750, Vol: 177, Page: e770-e774
2023
- 2Citations
- 8Captures
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Article Description
Application of surgical skull pins causes hemodynamic fluctuations in neurosurgical procedures. To reduce this response, we describe the use of a novel nonpharmacologic method in the form of medical-grade sterile silicone studs to cushion the pressure of the skull pin in the adult population. This study aimed to evaluate the use of conventionally used fentanyl and medical-grade sterile silicone studs for the prevention of hemodynamic response to skull pin insertion. A prospective randomized pilot study was conducted of 20 adult patients categorized as American Society of Anesthesiologists class I and II scheduled for elective craniotomy in November 2022 in a tertiary-care hospital in Chandigarh, India. Patients were randomized into 2 groups: fentanyl only (FO group; n = 10) and medical-grade silicone studs (SS group; n = 10). Heart rate and mean arterial pressure were recorded at the following intervals: T1, baseline; T2, before induction; T3, after intubation; T4, before skull pin insertion; T5, T6, T7, T8, T9, and T10 at 0, 1, 3, 4, and 5 minutes after skull pin insertion. Demographic data (e.g., sex, age, disease pathology) were comparable between the groups. Although changes in heart rate between the 2 groups were comparable, there was a statistically significant decrease in mean arterial pressure from 1 minute to 5 minutes after pinning in patients with silicone studs compared with patients who received only fentanyl. The use of medical-grade silicone studs causes fewer hemodynamic fluctuations compared with fentanyl on skull pinning. Further studies with larger sample sizes are required to confirm the findings of this pilot study.
Bibliographic Details
http://www.sciencedirect.com/science/article/pii/S1878875023009373; http://dx.doi.org/10.1016/j.wneu.2023.07.005; http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85166322068&origin=inward; http://www.ncbi.nlm.nih.gov/pubmed/37423334; https://linkinghub.elsevier.com/retrieve/pii/S1878875023009373; https://dx.doi.org/10.1016/j.wneu.2023.07.005
Elsevier BV
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