Partial Scalp Block in Posterior Fossa Surgery

• Status: Recruiting
• Trial end date: 2021-10-01
• Target enrollment: 0
• Participant gender: All

Summary

Pain in patients undergoing posterior fossa surgery is regarded as more intense when compared to pain in patients undergoing supratentorial cranial surgeries. It may result in a rise in blood pressure and heart rate leading to serious effects as increased intracranial pressure and intracranial hemorrhage. For a long time, the control of pain has been the role of opioids. However, the use of opioids is not devoid of side effects. Hence, combining other techniques as partial scalp block with general anesthesia may be beneficial in controlling hemodynamics and decreasing the amount of opioids used without sacrificing the good quality of analgesia and anesthesia.

• Phase: Phase 1
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Kasr El Aini Hospital
• Treatments: Fentanyl

Criteria

Inclusion Criteria:

• Physical status ASA I and ASA ll.

• Males and females between the ages of 21 and 55.

• Patients undergoing posterior fossa Surgeries.

• Patients with GCS ≥14

• Patients undergoing operation in prone position

Exclusion Criteria:

• Patient refusal.

• Patients with a history of allergy to opioids or local anesthetics

• GCS (Glasgow coma score) ≤13 upon emergence from anesthesia.

• Patients who will need post-operative ventilation

• Patients who had previous craniotomies

• Patients with contraindication to regional anaesthesia e.g.: local sepsis,

• Patients with pre-existing peripheral neuropathies and coagulopathy.

• Patients who will develop intraoperative surgical complications

• Operations lasting more than 5 hours.