Ultrasound-Guided Bilateral Infraorbital Nerve Block in  Endoscopic Transnasal Transsphenoidal Pituitary Surgery: A  Randomized Comparison of 0.2% Ropivacaine Alone Versus  0.2% Ropivacaine with Fentanyl for Intraoperative Analgesia and  Postoperative Rec

Ishrat Yousuf, Shruti Redhu, Lakshmi Bhavana, Kumari Pallavi

Ultrasound-Guided Bilateral Infraorbital Nerve Block in Endoscopic Transnasal Transsphenoidal Pituitary Surgery: A Randomized Comparison of 0.2% Ropivacaine Alone Versus 0.2% Ropivacaine with Fentanyl for Intraoperative Analgesia and Postoperative Rec

Authors

Ishrat Yousuf, Shruti Redhu, Lakshmi Bhavana, Kumari Pallavi

Keywords:

infraorbital nerve block; ropivacaine; fentanyl; pituitary surgery; transnasal transsphenoidal; neuroanaesthesia; regional analgesia; opioid-sparing

Abstract

Background: Endoscopic transnasal transsphenoidal (TNTS) pituitary surgery involvessignificant nociceptive stimulation of richly innervated nasal structures, necessitatingrobust multimodal analgesia. Ultrasound-guided bilateral infraorbital nerve block (IONB) is an emerging adjunct in this setting. Whether the addition of fentanyl to ropivacaineaugments analgesic efficacy remains insufficiently studied.

References

1. Melmed S. Pituitary-tumor endocrinopathies. N Engl J Med. 2020;382:937–950.

2. Jankowski R, Auque J, Simon C, et al. Endoscopic pituitary tumor surgery. Laryngoscope. 1992;102:198–202

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Published

2026-06-09

How to Cite

Ishrat Yousuf, Shruti Redhu, Lakshmi Bhavana, Kumari Pallavi. (2026). Ultrasound-Guided Bilateral Infraorbital Nerve Block in Endoscopic Transnasal Transsphenoidal Pituitary Surgery: A Randomized Comparison of 0.2% Ropivacaine Alone Versus 0.2% Ropivacaine with Fentanyl for Intraoperative Analgesia and Postoperative Rec. International Journal of Pharmacy Research & Technology (IJPRT), 16(1), 3587–3599. Retrieved from https://www.ijprt.org/index.php/pub/article/view/2074