Nerve Blocks for Craniotomy

被引：5

作者：

Stieger, Andrea ^{[1
]}

Romero, Carolina S. ^{[2
,3
]}

Andereggen, Lukas ^{[4
,5
]}

Heisenberg, Daniel ^{[1
]}

Urman, Richard D. ^{[6
]}

Luedi, Markus M. ^{[1
,7
]}

机构：

[1] Cantonal Hosp St Gallen, Div Anaesthesiol Intens Care Rescue & Pain Med, St Gallen, Switzerland

[2] Univ Valencia, Dept Anaesthesiol & Crit Care, Hosp Gen, Valencia, Spain

[3] Univ Europea Valencia, Res Methods Dept, Valencia, Spain

[4] Cantonal Hosp Aarau, Dept Neurosurg, Aarau, Switzerland

[5] Univ Bern, Fac Med, Bern, Switzerland

[6] Ohio State Univ, Coll Med, Dept Anaesthesiol, Columbus, OH 43210 USA

[7] Univ Bern, Univ Hosp Bern, Dept Anaesthesiol & Pain Med, Inselspital, Bern, Switzerland

来源：

CURRENT PAIN AND HEADACHE REPORTS | 2024年 / 28卷 / 05期

关键词：

Scalp nerve blocks; Regional anesthesia; Neurosurgery; Postcraniotomy headache; SCALP BLOCK; POSTOPERATIVE NAUSEA; HEMODYNAMIC-RESPONSE; PAIN; LEVOBUPIVACAINE; ANALGESIA; REMIFENTANIL; INFILTRATION; BUPIVACAINE; ANESTHESIA;

D O I：

10.1007/s11916-024-01236-4

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Purpose of ReviewPostcraniotomy headache (PCH) is a common adverse event and can lead to various complications and decreased quality of life.Recent FindingsTo reduce postcraniotomy pain and associated complications, a multimodal pain therapy including analgesics, analgesic adjuncts, and regional anesthesia is essential. The use of opioids should be minimized to facilitate prompt postoperative neurosurgical assessment. Here, we provide an update on the latest evidence regarding the role of scalp nerve blocks in the pain management of patients undergoing craniotomy procedure.SummaryNerve blocks are effective in alleviating postoperative pain after craniotomy. Scalp blocks contribute to lower pain levels and less opioid consumption in the first 48 h following surgery. Moreover, there is a significant decrease in patients suffering from PONV among patients who receive scalp block.

引用

页码：307 / 313

页数：7

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