Scalp Block Versus General Anesthesia in Patients Undergoing Evacuation of Subdural Hematoma Via Burr Hole

Not Applicable

Recruiting

• Conditions: Subdural Hematoma
• Interventions: Drug: Cisatracurium; Other: scalp block

• Registration Number: NCT07143799
• Lead Sponsor: Sohag University

Brief Summary

this study amis to compare between Scalp block versus general anesthesia in patients undergoing evacuation of subdural hematoma via burr hole.

Detailed Description

Not available

Study Timeline

• Status Verified: 2025-08
• Study Start: 2025-08-11
• Study First Submitted: 2025-08-13
• Study First Submitted QC: 2025-08-22
• Last Update Submitted: 2025-08-22
• Study First Posted: 2025-08-27
• Last Update Posted: 2025-08-27
• Primary Completion: 2026-03-20
• Study Completion: 2026-03-20

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

Not provided

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
'Group A will receive general anesthesia	Cisatracurium	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.
Group B patients will receive scalp block	scalp 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

Primary Outcome Measures

Name	Time	Method
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.

Trial Locations

Locations (1)

Sohag university hospital; 🇪🇬 Sohag, Egypt