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Patients undergoing meningeoma resection surgery will be randomly assigned to two groups. One group will receive scalp nerve blocks with 0.5% ropivacaine, whereas the other group will receive scalp nerve blocks with 0.9% saline after anesthesia induction and before skull-pin insertion. Serum levels of TNF-α、IL-6 and IL-1β will be measured and compared at before surgery, 1h, 24h and 72h after surgery, respectively. VAS score, dosage of pain-control medicine and NRS score at the first three days after surgery, ratio of intracranial infection within 30d after surgery, and total hospitalization days and medical expenditure will also be recorded and compared between the two groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ropivacaine | Experimental | patients in this group will receive scalp nerve blocks with 0.5% ropivacaine after anesthesia induction and before skull-pin insertion |
|
| saline | Placebo Comparator | patients in this group will receive scalp nerve blocks with 0.9% saline after anesthesia induction and before skull-pin insertion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Scalp Nerve Blocks With Ropivacaine | Procedure |
| ||
| Scalp Nerve Blocks With Saline |
| Measure | Description | Time Frame |
|---|---|---|
| serum TNF-α level | 24 hour after surgery | |
| serum IL-6 level | 24 hour after surgery | |
| serum IL-1β level | 24 hour after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| serum TNF-α level | 1 hour after surgery | |
| serum IL-6 level | 1 hour after surgery | |
| serum IL-1β level |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shanghai Renji hospital | Shanghai | Shanghai Municipality | 200127 | China |
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| ID | Term |
|---|---|
| D008579 | Meningioma |
| ID | Term |
|---|---|
| D009380 | Neoplasms, Nerve Tissue |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D009383 | Neoplasms, Vascular Tissue |
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| ID | Term |
|---|---|
| D000077212 | Ropivacaine |
| D012965 | Sodium Chloride |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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| Procedure |
|
| 1 hour after surgery |
| serum TNF-α level | 72 hour after surgery |
| serum IL-6 level | 72 hour after surgery |
| serum IL-1β level | 72 hour after surgery |
| VAS score | 24 hour after surgery |
| VAS score | 48 hour after surgery |
| VAS score | 72 hour after surgery |
| dosage of pain-control medicine | within 72 hour after surgery |
| NRS score | 24 hour after surgery |
| NRS score | 48 hour after surgery |
| NRS score | 72 hour after surgery |
| incidence of intracranial infection | within 30 days after surgery |
| Hospitalization Days | up to 30 days |
| out of pocket expenditure for hospitalisation | hospital discharge/up to 30 days |
| D008577 | Meningeal Neoplasms |
| D016543 | Central Nervous System Neoplasms |
| D009423 | Nervous System Neoplasms |
| D009371 | Neoplasms by Site |
| D009422 | Nervous System Diseases |
| D000588 |
| Amines |
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017670 | Sodium Compounds |