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

Raham Hasan Mostafa; Mohamed Abdel-Fattah Ghoneim; Doaa Mohammed Kamal EL-Din; Mohamed Ismaiel; Ibrahim Abdelmohsen; Sameh Refaat

doi:10.22037/jcma.v5i4.32015

Journal of Cellular & Molecular Anesthesia

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https://doi.org/10.22037/jcma.v5i4.32015

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

Author(s):

Raham Hasan Mostafa

^1,*,

Mohamed Abdel-Fattah Ghoneim²,

Doaa Mohammed Kamal EL-Din²,

Mohamed Ismaiel

²,

Ibrahim Abdelmohsen³,

Sameh Refaat

²

1Ain Shams University

2Lecturer of anesthesia and intensive care, faculty of medicine, Ain Shams University, Cairo, Egypt.

3Lecturer of Neurosurgery, faculty of medicine, Ain Shams University, Cairo, Egypt.

Journal of Cellular & Molecular Anesthesia:Vol. 5, issue 4; e149649

Published online:Sep 29, 2020

Article type:Original Articles

How to Cite:Raham Hasan MostafaMohamed Abdel-Fattah GhoneimDoaa Mohammed Kamal EL-DinMohamed IsmaielIbrahim AbdelmohsenSameh Refaatet 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.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.

Keywords

Craniotomy; Neurosurgery; Postoperative nausea and vomiting; PONV; Recovery Profile; Rescue Antiemetics; Scalp Block.

References

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References are in the PDF file of the article.

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Author(s):

Raham Hasan Mostafa:[PubMed][Scholar]
Mohamed Abdel-Fattah Ghoneim:[PubMed][Scholar]
Doaa Mohammed Kamal EL-Din:[PubMed][Scholar]
Mohamed Ismaiel:[PubMed][Scholar]
Ibrahim Abdelmohsen:[PubMed][Scholar]
Sameh Refaat:[PubMed][Scholar]