ArticleIndian journal of anaesthesia2025
Efficacy of lingual nerve block in preventing haemodynamic response due to surgical stimulation in patients undergoing tongue cancer resections: A randomised controlled trial.
Article in Indian journal of anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background and Aims: Surgical excision of tongue cancer lesions can cause haemodynamic surges, requiring high opioid doses. This study evaluated the efficacy of lingual nerve block in preventing haemodynamic surges and reducing opioid and volatile anaesthetic requirements during tongue cancer resection. Methods: This randomised controlled trial included 132 patients aged 18-60 years with American Society of Anesthesiologists (ASA) physical status I and II undergoing wide local excision of unilateral tongue cancer. Group B (n = 67) received a lingual nerve block with 2 mL of 2% lignocaine, while Group A (n = 65) received 2 mL of saline. Maximum mean arterial pressure (MAP), heart rate, fentanyl usage, and minimum alveolar concentration (MAC) during resection were compared. Wilcoxon's rank sum and Student's Results: Maximum MAP was lower in Group B [99.61 (standard deviation, SD: 13.72) (95% confidence interval, CI: 96.33, 102.90) mmHg] than in Group A [107.85 (SD: 12.71) (95% CI: 104.76, 110.94) mmHg] ( Conclusion: Lingual nerve block effectively controls haemodynamic surges during tongue cancer resection, with reduced opioid and anaesthetic requirements.
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