Supratentorial Neoplasms
Conditions
Brief summary
Study was designed to evaluate optimal timing for selective scalp block in patients undergoing general anesthesia for supratentorial craniotomy.Pain score assessed by visual analog scale (VAS) preoperatively (baseline) and after extubation at 2, 6, 12 and 24 hours; time first request of a patient for rescue analgesia; intraoperative anesthetics and opioids consumption; awakening time; perioperative complications.
Interventions
standard practice of controll the pain after surgery. Block of the nerve emergences.
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients (\>18 years), * presenting with supratentorial brain tumors scheduled for elective craniotomy under general anesthesia
Exclusion criteria
* history of allergic reactions on local anesthetics; * ASA status ≥ 3; * depressed consciousness in pre- or postoperative period; * aphasia (as investigators were not able to obtain VAS score).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue Scale score at 24 h after surgery | up to 24 hours | Visual Analogue Scale ranging from 0 (no pain) to 10 (worst imaginable pain), |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue Scale score at 2 hours | up to 2 hours | Visual Analogue Scale ranging from 0 (no pain) to 10 (worst imaginable pain) |
| Visual Analogue Scale score at 6 hours | up to 6 hours | Visual Analogue Scale ranging from 0 (no pain) to 10 (worst imaginable pain) |
| Visual Analogue Scale score at 12 hours | up to 12 hours | Visual Analogue Scale ranging from 0 (no pain) to 10 (worst imaginable pain) |
| Visual Analogue Scale score at 0 | Baseline | Visual Analogue Scale ranging from 0 (no pain) to 10 (worst imaginable pain) |
| intraoperative anesthetics | during surgery time | (and opioids consumption) |
| awakening time | time from the end of surgery to awekening | — |
| changes in hemodynamics at mayfiled headfraom positioning | surgery | changes in term of blood pressure |
| time first request of a patient for rescue analgesia | during surgery | — |