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mayfield_skull_clamp [2019/08/25 11:34]
mayfield_skull_clamp [2019/08/25 11:37] (current)
administrador [Complications]
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 After several design iterations, the famous Mayfield three-pin skull clamp was born. After several design iterations, the famous Mayfield three-pin skull clamp was born.
-====Complications==== +===== Complications =====
-The Mayfield clamp, often causes brief intense nociceptive stimulation,​ hypertension and tachycardia. Blunting this response may help prevent increased intracranial pressure, cerebral aneurysm or vascular malformation rupture, and/or myocardial stress. ​+
-[[remifentanil]] bolus is more effective than a [[propofol]] bolus in blunting hemodynamic responses to Mayfield placement, and possibly for other short, intense nociceptive stimuli +see [[Head Fixation Device complications]].
-((Berger M, Philips-Bute B, Guercio J, Hopkins TJ, James ML, Borel CO, Warner +
-DS, McDonagh DL. A novel application for bolus remifentanil:​ blunting the +
-hemodynamic response to Mayfield skull clamp placement. Curr Med Res Opin. 2014 +
-Feb;​30(2):​243-50. doi: 10.1185/​03007995.2013.855190. Epub 2013 Oct 30. PubMed +
-PMID: 24161010. +
-Skull fracture 
-((Mohcine S, Brahim EM. Depressed skull fracture secondary to the Mayfield 
-three-pin skull clamp. Pan Afr Med J. 2015 Mar 19;20:262. eCollection 2015. 
-PubMed PMID: 26161185.)) 
-((Matouk CC, Ellis MJ, Kalia SK, Ginsberg HJ. Skull fracture secondary to 
-application of a Mayfield skull clamp in an adult patient: case report and review 
-of the literature. Clin Neurol Neurosurg. 2012 Jul;​114(6):​776-8. doi: 
-10.1016/​j.clineuro.2011.12.036. Epub 2012 Jan 18. PubMed PMID: 22261664.)) 
-Epidural hematoma 
-((Lee MJ, Lin EL. The use of the three-pronged Mayfield head clamp resulting in  
-an intracranial epidural hematoma in an adult patient. Eur Spine J. 2010 Jul;19 
-Suppl 2:S187-9. doi: 10.1007/​s00586-010-1323-z. Epub 2010 Feb 14. PubMed PMID: 
-20155477; PubMed Central PMCID: PMC2899644.)). 
-((Yan HJ. Epidural hematoma following use of a three-point skull clamp. J Clin 
-Neurosci. 2007 Jul;​14(7):​691-3. Epub 2007 Apr 25. PubMed PMID: 17462901.)). 
mayfield_skull_clamp.txt · Last modified: 2019/08/25 11:37 by administrador