Subdural Hematoma
Conditions
Brief summary
this study amis to compare between Scalp block versus general anesthesia in patients undergoing evacuation of subdural hematoma via burr hole.
Interventions
DRUGCisatracurium
Induction of general anesthesia will be done by IV propofol 2-2.5 mg / kg and IV fentanyl lug/kg. After IV Cis-atracurium 0.15mg/kg, endotracheal intubation will be done.
OTHERscalp block
The scalp block will target six pairs of sensory nerves that innervate the scalp: the supraorbital nerve, supratrochlear nerve, auriculotemporal nerve, zygomaticotemporal nerve, greater occipital nerve, and lesser occipital nerve. Local anesthetic (2% lidocaine and bupivacaine) will be infiltrated at specific anatomical landmarks corresponding to the course of each nerve.
Sponsors
Sohag University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Age from 18 to 75 years old. * Both sexes. * American Society of Anesthesiologists (ASA) physical status II-III. * Patients with subdural hematoma undergoing burr-hole evacuation
Exclusion criteria
* Patients with a history of known sensitivity to study drugs. * Glasgow Coma Scale (GCS) \<8 * Impaired coagulation profile. * Any degree of heart block. * Infection at site of injection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The aim of this prospective randomized study is to compare Scalp block versus general anesthesia in patients undergoing evacuation of subdural hematoma via burr hole. | 24 hours after operation | Post operative scale by The Glasgow Coma Scale (GCS) and post operative hemodynamics. |
Countries
Egypt
Contacts
Primary ContactMohamed H elsayed, Resident
Backup ContactAbdel Rahman H Abdel Rahman, Professor
Outcome results
None listed