Effect of Scalp Block on Postoperative nausea and vomiting & Recovery Profile after Craniotomy: A Randomized, Double-Blind, Controlled Study: Postoperative nausea and vomiting after Craniotomy

authors:

avatar Raham Hasan Mostafa ORCID 1 , * , avatar Mohamed Abdel-Fattah Ghoneim 2 , avatar Doaa Mohammed Kamal EL-Din 2 , avatar Mohamed Ismaiel ORCID 2 , avatar Ibrahim Abdelmohsen 3 , avatar Sameh Refaat 2

Ain Shams University
Lecturer of anesthesia and intensive care, faculty of medicine, Ain Shams University, Cairo, Egypt.
Lecturer of Neurosurgery, faculty of medicine, Ain Shams University, Cairo, Egypt.
Journal of Cellular & Molecular Anesthesia: Vol.5, issue 4; e149649
article type: Original Articles
DOI: https://doi.org/10.22037/jcma.v5i4.32015

how to cite: Hasan Mostafa R, Ghoneim M A, Kamal EL-Din D M, Ismaiel M, Abdelmohsen I, et al. Effect of Scalp Block on Postoperative nausea and vomiting & Recovery Profile after Craniotomy: A Randomized, Double-Blind, Controlled Study: Postoperative nausea and vomiting after Craniotomy. J Cell Mol Anesth. 2020;5(4):e149649. https://doi.org/10.22037/jcma.v5i4.32015.

Abstract

Background: Scalp block with bupivacaine has shown to provide perioperative analgesia with subsequent decrease in intraoperative opioids consumption. We performed a prospective randomized controlled study to evaluate the efficacy of preemptive scalp block in preventing Postoperative nausea and vomiting (PONV) after elective supratentorial craniotomy Methods: 40 patients were randomly allocated to either control group or preemptive scalp block group. Postoperative nausea & vomiting incidence & severity during 1st 24 hours after operation were recorded. Results: We found that PONV% was statistically insignificant between the 2 groups; 50% in control group, 45% in Scalp block group. On the other hand, Scalp block blunted response of both mean arterial blood pressure and heart rate with noxious stimuli during pinning and skin incision together with improvement in recovery profile. Conclusions: Scalp block, combined with general anesthesia provided good hemodynamic stability ?and better recovery profile during craniotomy but on the other hand, ?had no effect on PONV incidence during 1st 24 h.