COMPARISON OF EFFECTS OF DEXMEDETOMIDINE ADDED TO LEVOBUPIVACAINE VERSUS LEVOBUPIVACAINE ALONE INFILTRATION SCALP BLOCK FOR ATTENUATION OF THE HAEMODYNAMIC RESPONSE TO SKULL PIN PLACEMENT IN NEUROSURGICAL PROCEDURES A DOUBLE BLIND RANDOMISED CLINICAL TRIAL

Skull pin placement during brain surgery often causes significant pain and stress responses, such as increases in heart rate and blood pressure. Scalp nerve blocks with local anesthetics are commonly used to reduce this response. Levobupivacaine is a safe and effective local anesthetic, and dexmedetomidine is an adjuvant that may enhance its effect by providing better pain relief and reducing the stress response. This study aims to compare the effectiveness of levobupivacaine alone versus levobupivacaine combined with dexmedetomidine for scalp nerve blocks. The main focus is on how well each technique reduces the body’s stress response during skull pin insertion. Results may help improve patient comfort and stability during neurosurgery.