Health Condition 1: D496- Neoplasm of unspecified behavior of brain Health Condition 2: G978- Other intraoperative and postprocedural complications and disorders of nervous system
Conditions
Interventions
Intervention1: Scalp block with adjuvant: Scalp block will be given with one microgram per kg dexmedetomidine diluted to one ml and mixed with 20 ml of 0.5 percent ropivacaine. Duration of interventio
Sponsors
All India Institute of Medical Sciences New Delhi
Eligibility
Inclusion criteria
Inclusion criteria: 1.ASA physical status: I to III. 2.Scheduled for elective supratentorial craniotomy under general anaesthesia. 3.GCS (Glasgow Coma Scale) score of 15 before surgery. 4.Planning to extubate at the end of surgery.
Exclusion criteria
Exclusion criteria: 1.Patient refuses treatment 2.Known allergy or hypersensitivity to local anesthetics such as ropivacaine or to dexmedetomidine 3.Coagulopathy or being on anticoagulant therapy 4.Infection at the scalp block injection site 5.Pre-existing neurological deficits or cognitive impairments 6.Chronic pain syndrome or regular use of analgesics (more than 1 week) or opioids 7.Severe cardiovascular, liver, or kidney disease 8.Patients who are not expected to be extubated immediately after the surgical procedure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of adequate analgesia or Pain-free intervalTimepoint: Time in minutes from the completion of the scalp block to the patients first request for rescue analgesia that is NRS more than 4 | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain Intensity Rescue Analgesic Consumption Hemodynamic stability Sedation Level Patient Satisfaction Adverse Events Timepoint: arrival in NICU, 2, 4, 8, 12, and 24 hours after surgery | — |
Countries
India
Contacts
Public ContactMedha Gupta
All India Institute of Medical Sciences, New Delhi
Outcome results
None listed