A comparison of two methods of scalp block:Landmark vs field block for patients undergoing craniotomy under general anaesthesia.
Overview
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Commad Hospital(Eastern Command)
- Enrollment
- 62
- Locations
- 1
- Primary Endpoint
- Hemodynamic response during anaesthesia and surgery
Overview
Brief Summary
The insertion of pins of skull holder to stabilize the head during craniotomy/craniectomy and other procedure like skin incison,skull drilling,skul flap removal ,dura incision produces lots of periosteal reaction and results in haemodynamic response which may lead to brain oedema,intracranial hypertension which can lead to adverse post operative outcome. The aim of the study is to compare the effectiveness scalp block by landmark and field block technique in patients undergoing craniotomy/craniectomy under general anaesthesia in terms of intraoperative haemodynamic stability( HR and MAP) and quality & duration of analgesia provided (Visual Analogue Score at 6,12 and 24 hours post infiltration )by field block method and landmark method of scalp block
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- Participant and Investigator Blinded
Eligibility Criteria
- Ages
- 18.00 Year(s) to 70.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •All patients under ASA I-III who are undergoing craniotomy/craniectomy under general anaesthesia will be included.
Exclusion Criteria
- •Patients with coagulopathies,infection at skin overlying scalp area,history of allergy to the drug which will be used in scalp block,unwillingness, patients on long term pain management and haemodynamically unstable patients will be excluded.
Outcomes
Primary Outcomes
Hemodynamic response during anaesthesia and surgery
Time Frame: Heart Rate and Mean Arterial Pressure ( MAP) during skull pin, incision, burr hole drilling, bone flap removal, dural incision and skin closure. | Visual Analogue Score at 6,12 and 24 hours after infiltration of Scalp BLock.
Secondary Outcomes
- Quality of analgesia and cumulative dose of analgesic used post of till 24 hours.(Visual Analogue Score will be measured at 6,12 and 24 hoours post infiltration of scalp block)
Investigators
Amit Kumar Singh
Dept of Anaesthesiology,Command Hospital( Eastern Command)