Scalp Blocks for Pediatric External Ventricular Drainage Placement

Anesthesia and Analgesia Methods in Pediatric External Ventricular Drainage Placement

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT06903598

Enrollment

Registered

2025-03-31

Start date

2021-08-25

Completion date

2022-09-01

Last updated

2025-03-31

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hydrocephalus in Children, Pediatric Anesthesia, Regional Block

Brief summary

External ventricular drainage (EVD) provides cerebrospinal fluid drainage in hydrocephalus. In adults, the neurosurgeon can place EVD at the bedside. In children, it is mainly preferred to be placed in the operating room under general anesthesia. However, general anesthesia may negatively affect oxygenation (during the intubation period) or cerebral blood flow (due to hypotension). This study investigates the use of regional block methods (without general anesthesia) in children for EVD placement.

Detailed description

External ventricular drainage (EVD) provides cerebrospinal fluid drainage in hydrocephalus. In adults, EVD can be placed by the neurosurgeon at the bedside. In children, it is mainly preferred to be placed in the operating room under general anesthesia. However, general anesthesia may negatively affect oxygenation during a prolonged intubation period, leading to hypoxemia. Furthermore, hypotensive effects of general anesthesia may cause ischemia due to decreased cerebral blood flow. Additionally, on the other hand, painful stimuli caused by surgical incisions or pins may cause hemorrhagic events due to a hypertensive period. Therefore, scalp blocks and local anesthetic infiltrations are recommended to prevent such adverse events. Although general anesthesia has been a routine for many anesthesiologists for EVD placement in children, this research hypothesizes that scalp blocks (along with sedatives) can be used as an anesthesia method for EVD placement. This study investigates the use of regional block methods (to avoid general anesthesia) in children for EVD placement.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

1 Days to 18 Years

Healthy volunteers

Inclusion criteria

* Children undergoing external ventricular drainage

Exclusion criteria

* Children who were intubated preoperatively.

Design outcomes

Primary

Measure	Time frame	Description
Anesthesia method	From enrollment to the end of surgery	The anesthesia method used for the surgery (general anesthesia or sedation)

Secondary

Measure	Time frame	Description
Analgesic consumption	Postoperative first 24 hours.	Total analgesic consumption within the first 24 in the postoperative period.

Countries

Turkey (Türkiye)

Outcome results