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Study was designed to evaluate optimal timing for selective scalp block in patients undergoing general anesthesia for supratentorial craniotomy.Pain score assessed by visual analog scale (VAS) preoperatively (baseline) and after extubation at 2, 6, 12 and 24 hours; time first request of a patient for rescue analgesia; intraoperative anesthetics and opioids consumption; awakening time; perioperative complications.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Scalp Block | Procedure | standard practice of controll the pain after surgery. Block of the nerve emergences. |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analogue Scale score at 24 h after surgery | Visual Analogue Scale ranging from 0 (no pain) to 10 (worst imaginable pain), | up to 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analogue Scale score at 0 | Visual Analogue Scale ranging from 0 (no pain) to 10 (worst imaginable pain) | Baseline |
| Visual Analogue Scale score at 2 hours | Visual Analogue Scale ranging from 0 (no pain) to 10 (worst imaginable pain) |
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Inclusion Criteria:
Exclusion Criteria:
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24492515 | Background | Bebawy JF, Bilotta F, Koht A. A modified technique for auriculotemporal nerve blockade when performing selective scalp nerve block for craniotomy. J Neurosurg Anesthesiol. 2014 Jul;26(3):271-2. doi: 10.1097/ANA.0000000000000032. No abstract available. | |
| 27996204 | Background | Tsaousi GG, Logan SW, Bilotta F. Postoperative Pain Control Following Craniotomy: A Systematic Review of Recent Clinical Literature. Pain Pract. 2017 Sep;17(7):968-981. doi: 10.1111/papr.12548. Epub 2017 Feb 23. |
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| ID | Term |
|---|---|
| D015173 | Supratentorial Neoplasms |
| ID | Term |
|---|---|
| D001932 | Brain Neoplasms |
| D016543 | Central Nervous System Neoplasms |
| D009423 | Nervous System Neoplasms |
| D009371 | Neoplasms by Site |
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| up to 2 hours |
| Visual Analogue Scale score at 6 hours | Visual Analogue Scale ranging from 0 (no pain) to 10 (worst imaginable pain) | up to 6 hours |
| Visual Analogue Scale score at 12 hours | Visual Analogue Scale ranging from 0 (no pain) to 10 (worst imaginable pain) | up to 12 hours |
| time first request of a patient for rescue analgesia | during surgery |
| intraoperative anesthetics | (and opioids consumption) | during surgery time |
| awakening time | time from the end of surgery to awekening |
| changes in hemodynamics at mayfiled headfraom positioning | changes in term of blood pressure | surgery |
| changes in hemodynamics at mayfiled headfraom positioning | changes in heart rate | surgery |
| D009369 | Neoplasms |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |