{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T08:43:12Z","timestamp":1792226592606,"version":"4.4.0"},"reference-count":9,"publisher":"Baycinar Tibbi Yayincilik","issue":"4","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Agri"],"accepted":{"date-parts":[[2025,11,14]]},"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:p>Glossopharyngeal nerve block (GPNB) can provide effective anesthesia for procedures involving the oropharynx and upper airway. Ultrasound-guided GPNB (UGPNB) may be particularly useful when conventional sedation or topical anesthesia is undesirable because of the risk of respiratory or cardiovascular complications. In this article, we report the use of UGPNB as an alternative anesthetic technique for gastroduodenal endoscopy in a 57-year-old male patient with AMI and gastrointestinal bleeding. In this patient requiring emergency endoscopy, UGPNB was performed via the peristyloid approach to provide oropharyngeal anesthesia while minimizing the need for sedation. The block effectively suppressed the gag reflex and provided adequate procedural conditions while maintaining hemodynamic stability. No procedure-related complications or adverse effects were observed, and the patient reported no discomfort following the procedure. In conclusion, UGPNB may be a useful alternative to sedation for endoscopy in high-risk cardiac patients.<\/jats:p>","DOI":"10.5606\/agri.2026.64","type":"journal-article","created":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T08:31:27Z","timestamp":1792225887000},"page":"302-305","source":"Crossref","is-referenced-by-count":0,"title":["Ultrasound-guided glossopharyngeal nerve block for safe and effective anesthesia in a critically ill patient with acute myocardial infarction undergoing urgent endoscopy"],"prefix":"10.5606","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5913-6469","authenticated-orcid":false,"given":"Ayda","family":"Turkoz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5675-6307","authenticated-orcid":false,"given":"Myat Su","family":"Win","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7114-2239","authenticated-orcid":false,"given":"Mehmet","family":"Sari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3570","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"ref-1","doi-asserted-by":"crossref","unstructured":"Sirohiya P, Kumar V, Yadav P, Bharti SJ. Ultrasound-guided glossopharyngeal nerve block at pharyngeal wall level in a patient with carcinoma tongue. Indian J Palliat Care 2020;26:140-1. doi: 10.4103\/IJPC.IJPC_132_19.","DOI":"10.4103\/IJPC.IJPC_132_19"},{"key":"ref-2","unstructured":"Hannallah M, ElDabh A, Kallus S, Haddad N. Glossopharyngeal nerve block for esophagogastroduodenoscopy in critically ill patients. Anaesth Pain Intensive Care 2016;20:457-61."},{"key":"ref-3","doi-asserted-by":"crossref","unstructured":"Liu Q, Zhong Q, Tang G, He G. Ultrasound-guided glossopharyngeal nerve block via the styloid process for glossopharyngeal neuralgia: A retrospective study. J Pain Res 2019;12:2503-10. doi: 10.2147\/JPR. S214596.","DOI":"10.2147\/JPR.S214596"},{"key":"ref-4","doi-asserted-by":"crossref","unstructured":"Kojima Y, Oiwa D. Ultrasound-guided selective glossopharyngeal nerve block for severe gag reflex during dental treatment: A report of two cases. Cureus 2024;16:e54725. doi: 10.7759\/ cureus.54725.","DOI":"10.7759\/cureus.54725"},{"key":"ref-5","doi-asserted-by":"crossref","unstructured":"Low AL, Abdel AM, Nanda M, Doyal AS, Schoenherr JW, Grant SA, et al. Staining of hypoglossal and vagus nerves observed following ultrasound guided distal glossopharyngeal nerve block in cadavers. J Clin Anesth 2022;83:110986. doi: 10.1016\/j. jclinane.2022.110986.","DOI":"10.1016\/j.jclinane.2022.110986"},{"key":"ref-6","doi-asserted-by":"crossref","unstructured":"Ortega Ram\u00edrez M, Linares Segovia B, Garc\u00eda Cuevas MA, S\u00e1nchez Romero JL, Botello Buenrostro I, Amador Licona N, et al. Glossopharyngeal nerve block versus lidocaine spray to improve tolerance in upper gastrointestinal endoscopy. Gastroenterol Res Pract 2013;2013:264509. doi: 10.1155\/2013\/264509.","DOI":"10.1155\/2013\/264509"},{"key":"ref-7","doi-asserted-by":"crossref","unstructured":"Barton S, Williams JD. Glossopharyngeal nerve block. Arch Otolaryngol 1971;93:186-8. doi: 10.1001\/ archotol.1971.00770060272014.","DOI":"10.1001\/archotol.1971.00770060272014"},{"key":"ref-8","doi-asserted-by":"crossref","unstructured":"Kumar A, Sinha C, Kumar A, Singh K. Role of glossopharyngeal nerve block to prevent bradycardia during surgical manipulation of the carotid sinus: A novel use. J Cardiothorac Vasc Anesth 2023;37:677. doi: 10.1053\/j.jvca.2023.01.005.","DOI":"10.1053\/j.jvca.2023.01.005"},{"key":"ref-9","doi-asserted-by":"crossref","unstructured":"Yadav MK, Pulappadi VP, Singh VP, Bharati SJ, Bagga B. Ultrasoundguided glossopharyngeal nerve block\u2014a new paradigm in pain management. J Clin Interv Radiol ISVIR 2023;7:122-5.","DOI":"10.1055\/s-0042-1751251"}],"container-title":["A\u011fr\u0131 - The Journal of The Turkish Society of Algology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/agridergisi.com\/tam-metin-pdf\/1004\/eng","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agridergisi.com\/tam-metin-pdf\/1004\/eng","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T08:32:06Z","timestamp":1792225926000},"score":1,"resource":{"primary":{"URL":"https:\/\/agridergisi.com\/doi\/10.5606\/agri.2026.64"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,28]]},"references-count":9,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,10,1]]}},"URL":"https:\/\/doi.org\/10.5606\/agri.2026.64","relation":{},"ISSN":["1300-0012","2458-9446"],"issn-type":[{"value":"1300-0012","type":"print"},{"value":"2458-9446","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,28]]}}}