Ultrasound-guided Greater Occipital Nerve Block in Children Undergoing Posterior Fossa Craniotomy

• Status: Completed
• Trial end date: 2020-12-01
• Target enrollment: 0
• Participant gender: All

Summary

Surgery within the posterior fossa is associated with the highest incidence and greatest severity of acute postoperative pain that may persist beyond the immediate postoperative period.

The utilization of local nerve blocks of the scalp in children may provide analgesia with stable hemodynamics while reducing the need for other anesthetics such as inhaled anesthetics and opioids. This could in turn result in less side effects, higher patient and family satisfaction, and better outcomes.

The use of ultrasound-guided greater occipital nerve block (GONB) for perioperative pain management of posterior fossa surgery in pediatrics is not previously reported.

• Phase: Phase 3
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Kasr El Aini Hospital

Criteria

Inclusion Criteria:

• ASA physical status I or II,

• Glasgow Coma Scale (GCS) 15,

• children scheduled for craniotomy for posterior fossa tumors

Exclusion Criteria:

• Refusal of patients guardians

• Patients with suspected or proved allergic to local anesthetics

• Emergency surgery,

• Children with GCS < 15

• Craniotomy incision beyond the coverage of the block will be excluded from the study.