Health Condition 1: G978- Other intraoperative and postprocedural complications and disorders of nervous system
Conditions
Interventions
Intervention1: ultrasound guided scalp nerve block in supratentorial brain surgery: at the end of surgery ,after skin closure,scalp block will be performed.following nerves will be blocked bilaterally
the auriculotemporal nerves will be blocked with 2 ml of solution injected 1.5 cm anterior to the ear at the level of tragus (the 23G needle will be introduced perpendicular to the skin and injection
the zygomatic temporal nerves will be blocked midway between the supraorbital and auriculo-temporal nerves by using 2 ml of solution with a 23G needle
the postauricular branches of the greater auricular nerves will be blocked by 2 ml of solution using a 23G needle between the skin and bone 1.5 cm posterior to the ear at the level of tragus
the greater, lesser and third occipital nerves will be blocked with 2 ml of solution using a 23G spinal needle with infiltration along the superior nuchal line, approximately halfway between the occip
Sponsors
King George Medical University
Department of Neurosurgery
Eligibility
Inclusion criteria
Inclusion criteria: 1-Patient of either sex, Age group of 18-60 years 2-ASA Grade I and II 3-Elective Craniotomy
Exclusion criteria
Exclusion criteria: 1-Patient refusal 2-Previous Head trauma 3-History of craniotomy 4-Chronic headache 5-GCS 6-Active psychiatric disorders 7-Allergy to study drugs 8-Chronic opioid/analgesic abuse 9-Chronic steroid use
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hemodynamic parameters will be noted at 2, 4, 6, 8, 24 hours, 48 hours and 72 hours after surgeryTimepoint: Hemodynamic parameters will be noted at 2, 4, 6, 8, 24 hours, 48 hours and 72 hours after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| blood pressure, heart rate, respiratory rate, GCS ,rescue analgesic requirement,and sedation score will be recorded.Timepoint: 0,2,4,6,8,24,48,72 hrs,1,2 week,1,2,3month | — |
Countries
India
Contacts
Public ContactProf MP Khan
King Georges Medical University Lucknow
Outcome results
None listed