Comparing the effectiveness of different concentrations of Ropivacaine(0.2%,0.33%,0.5%) with Dexamethasone as an adjunct used in scalp nerve block in relation to pain relief post-operatively and Intra-operative vitals stability in patients undergoing elective craniotomy.
- Conditions
- Health Condition 1: D330- Benign neoplasm of brain, supratentorialHealth Condition 2: O- Medical and Surgical
- Registration Number
- CTRI/2023/06/053366
- Lead Sponsor
- Dr BASUNDHARA CHAKRABARTI
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
Patients scheduled for elective craniotomy under general anesthesia planned for on-table extubation and expected to gain consciousness within 2 hrs.
1) American Society of Anaesthesiologists (ASA) physical
status of Iâ??II;
2) Age 18â??60 years;
3) Participants required to fix their head in a head clamp
intraoperatively;
4) Participants with an anticipated full recovery within 2
hrs postoperatively.
1) History of craniotomy;
2) Expected delayed extubation or no plan to extubate;
3) Participants who cannot understand the instructions
of a numeral rating scale (NRS) before surgery;
4) Extreme body mass index (BMI) ( <15 or >35); and body weight <50kg.
5) Allergy to opioids, dexamethasone, or ropivacaine;
6) History of excessive alcohol or drug abuse, chronic
opioid use (more than 2 weeks), or use of drugs with
confirmed or suspected sedative or analgesic effects;
7) History of psychiatric disorders, uncontrolled epilepsy
or chronic headache;
8) Pregnant or at breastfeeding;
9) Symptomatic cardiopulmonary, renal, or liver dysfunction
or history of diabetes;
10) Preoperative Glasgow Coma Scale <15;
11) Suspicion of intracranial hypertension;
12) Peri-incisional infection;
13) Participants who have received radiation therapy and
chemotherapy preoperatively or with a high probability
to require a postoperative radiation therapy and chemotherapy according to the preoperative imaging.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method