Scalp Block Versus General Anesthesia in Patients Undergoing Evacuation of Subdural Hematoma Via Burr Hole

Sohag University

Status: Enrolling

Conditions: Subdural Hematoma

Treatments: Other: scalp block; Drug: Cisatracurium

Study type: Interventional

Funder types: Other

Identifiers

NCT07143799

Soh-Med--25-8-8MS

Details and patient eligibility

About

this study amis to compare between Scalp block versus general anesthesia in patients undergoing evacuation of subdural hematoma via burr hole.

Enrollment: 80 estimated patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria

• Age from 18 to 75 years old.
• Both sexes.
• American Society of Anesthesiologists (ASA) physical status II-III.
• Patients with subdural hematoma undergoing burr-hole evacuation

Exclusion Criteria:

• Patients with a history of known sensitivity to study drugs.
• Glasgow Coma Scale (GCS) <8
• Impaired coagulation profile.
• Any degree of heart block.
• Infection at site of injection

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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80 participants in 2 patient groups

'Group A will receive general anesthesia

Active Comparator group

Description:

Induction of general anesthesia will be done by IV propofol 2-2.5 mg / kg and IV fentanyl lug/kg. After IV Cis-atracurium 0.15mg/kg, endotracheal intubation will be done.

Treatment:

Drug: Cisatracurium

Group B patients will receive scalp block

Active Comparator group

Description:

The scalp block will target six pairs of sensory nerves that innervate the scalp: the supraorbital nerve, supratrochlear nerve, auriculotemporal nerve, zygomaticotemporal nerve, greater occipital nerve, and lesser occipital nerve.Local anesthetic (2% lidocaine and bupivacaine) will be infiltrated at specific anatomical landmarks corresponding to the course of each nerve

Treatment:

Other: scalp block