L’effet de blocs nerveux bilatéraux du scalp sur la douleur postopératoire et les délais de congé des patients subissant une craniotomie supratentorielle sous anesthésie générale : une étude randomisée contrôlée. - OpacWWW

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Abstrakt

Tytuł:: L’effet de blocs nerveux bilatéraux du scalp sur la douleur postopératoire et les délais de congé des patients subissant une craniotomie supratentorielle sous anesthésie générale : une étude randomisée contrôlée.
Autorzy:: Rigamonti, Andrea
Garavaglia, Marco M.
Ma, Kan
Crescini, Charmagne
Mistry, Nikhil
Thorpe, Kevin
Cusimano, Michael D.
Das, Sunit
Hare, Gregory M. T.
Mazer, C. David
Temat:: NARCOTICS
RESEARCH
GENERAL anesthesia
SCALP
ANALGESICS
RESEARCH methodology
NERVE block
EVALUATION research
MEDICAL cooperation
COMPARATIVE studies
RANDOMIZED controlled trials
BLIND experiment
RESEARCH funding
CRANIOTOMY
POSTOPERATIVE pain
DISCHARGE planning
LOCAL anesthetics
LONGITUDINAL method
Alternatywny tytuł:: L'effet de blocs nerveux bilatéraux du scalp sur la douleur postopératoire et les délais de congé des patients subissant une craniotomie supratentorielle sous anesthésie générale : une étude randomisée contrôlée (French)
Źródło:: Canadian Journal of Anaesthesia / Journal Canadien d'Anesthésie; Apr2020, Vol. 67 Issue 4, p452-461, 10p
Abstract (English):: Purpose: Post-craniotomy pain is a common clinical issue and its optimal management remains incompletely studied. Utilization of a regional scalp block has the potential advantage of reducing perioperative pain and opioid consumption, thereby facilitating optimal postoperative neurologic assessment. The purpose of this study was to assess the efficacy of regional scalp block on post-craniotomy pain and opioid consumption.Methods: We performed a prospective randomized-controlled trial in adults scheduled to undergo elective supratentorial craniotomy under general anesthesia to assess the efficacy of postoperative bilateral scalp block with 0.5% bupivacaine with 1:200,000 epinephrine compared with placebo on postoperative pain and opioid consumption. The primary outcome was the visual analogue scale (VAS) for pain at 24 hr postoperatively.Results: Eighty-nine patients were enrolled (n = 44 in block group; n = 45 in control group). There was no difference in the mean (standard deviation) VAS score at 24 hr postoperatively between the treatment group and the control group [31.2 (21.4) mm vs 23.0 (19.2) mm, respectively; mean difference, 6.6; 95% confidence interval, -2.3, 15.5; P = 0.15]. There was also no significant difference in postoperative opioid consumption. Distribution of individual VAS score and opioid consumption revealed that postoperative pain was highly variable following craniotomy. Time to hospital discharge was not different between treatment and placebo groups. No adverse events associated with scalp block were identified.Conclusion: These data show that bilateral scalp blocks using bupivacaine with epinephrine did not reduce mean postoperative VAS score or overall opioid consumption at 24 hr nor the time-to-discharge from the postanesthesia care unit or from hospital.Trial Registration: www.ClinicalTrials.gov, NCT00972790; registered 9 September, 2009. [ABSTRACT FROM AUTHOR]
: Czasopismo naukowe

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L’effet de blocs nerveux bilatéraux du scalp sur la douleur postopératoire et les délais de congé des patients subissant une craniotomie supratentorielle sous anesthésie générale : une étude randomisée contrôlée.