Effect of scalp block on postoperative pain relief in craniotomy patients

Anaesthesia and Intensive Care
I BalaV K Khosla

Abstract

The efficacy of scalp nerve block using 0.5% bupivacaine with adrenaline for postoperative pain relief in craniotomy patients was evaluated in 40 ASA I or II adult patients undergoing supratentorial craniotomy. A standard general anaesthesia technique was followed. Patients were randomly divided into two groups. Group B received 0.5% bupivacaine with 1:400,000 adrenaline and group S received normal saline with 1:400,000 adrenaline, both after skin closure. Postoperative pain was assessed at 30 seconds and 1, 2, 4, 6, 8 and 12 hours using a numerical rating scale. Diclofenac IM was administered as rescue analgesia if patients reported a numerical rating scale of 40 or more. Tramadol IV was administered as second rescue analgesia. Sixty per cent of patients in group S experienced moderate to severe pain (numerical rating scale of 40 or more) at some time during the first 12 postoperative hours in comparison to 25% patients in group B. Median pain scores were significantly lower in group B for up to 6 hours. Significantly more patients were pain free up to four hours in group B. Median duration for the requirement of first dose of diclofenac was longer in group B compared to group S (360 min vs 30 min, P < 0.01). The number of dos...Continue Reading

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Citations

Mar 23, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Daniel T WarrenPaul Steinbok
Oct 6, 2011·European Journal of Anaesthesiology·Morten S HansenJørgen B Dahl
Jan 7, 2016·Journal of Advanced Nursing·Rebecca Elizabeth GuilkeyClaire B Draucker
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Aug 14, 2010·Journal of Neurosurgical Anesthesiology·Anand I RughaniJeffrey E Florman
Jun 18, 2015·Journal of Neurosurgical Anesthesiology·Kavitha JayaramGopinath Ramachandran
Jul 5, 2019·Paediatric Anaesthesia·Lané PriggeAdrian T Bosenberg
Nov 28, 2019·Indian Journal of Anaesthesia·Ardyan Wardhana, Sudadi Sudadi
Mar 13, 2013·Anesthesia and Analgesia·Mathew R GuilfoylePeter J A Hutchinson
May 19, 2010·Journal of Neurosurgical Anesthesiology·Irene Osborn, Joseph Sebeo
Sep 24, 2020·British Journal of Neurosurgery·Carlos Michell Tôrres SantosNicollas Nunes Rabelo
Jul 9, 2009·European Journal of Anaesthesiology·Ganne S Umamaheswara Rao, Adrian W Gelb
Apr 2, 2021·Clinical Nurse Specialist CNS·Rebecca E Foust WintonDiane Von Ah
Nov 22, 2008·British Journal of Anaesthesia·S J JonesD A Scott
Aug 21, 2012·Anesthesiology Clinics·Lawrence T LaiAudrée A Bendo

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