Does scalp block with general anesthesia in craniotomy affect the intraoperative course and outcome in geriatric patients?

Abbass, Omar W; Hussien, Gomaa Z; Aboeldahab, Hesham; Othman, Safenas; Fareed, Mohamed

doi:10.4103/1687-7934.153934

Cited by 2 publications

(1 citation statement)

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“…0.5% bupivacaine hydrochloride is widely used to provide scalp blocks. Levobupivacaine is a pure senantiomer of bupivacaine and is increasing in popularity because of its fewer cardiovascular side effects and is less toxic to central nervous system [6,7]. The aim of our study was to compare the efficacy in attenuating haemodynamic response with 0.5% bupivacaine hydrochloride versus 0.5% levobupivacaine for scalp block before Mayfield insertion during craniotomies.…”

Section: Introductionmentioning

confidence: 99%

A Clinical Comparative Study of Scalp Block With 0.5% Bupivacaine Versus Levobupivacaine 0.5% for Mayfield Insertion on Haemodynamic Response and Efficacies of Postoperative Analgesia

RAMESH,

EMEEMA,

PRIYADARSHINI

et al. 2024

Int J Curr Pharm Sci

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Objective: Present study was performed to compare the effectiveness of 0.5% bupivacaine hydrochloride and 0.5% levobupivacaine for scalp block on the haemodynamic response, efficacy and additional analgesic requirement of these drugs in the post operative period during Mayfield insertion for craniotomy. Methods: 60 patients of American society of anaesthesiologists physical status Ⅰ and Ⅱ who underwent elective craniotomies were randomly divided into two groups Group B (n=30) who received scalp block with 0.5% bupivacaine hydrochloride 25 ml, Group L (n=30) received 25 ml of 0.5% levobupivacaine 5 min prior to Mayfield insertion. Mean arterial pressure (MAP), pulse rate, pain score (VAS score), additional intraoperative and postoperative analgesic requirement were recorded at different time points. Results: Pulse rate, mean arterial pressure were stable during and after Mayfield insertion in both groups at all time points. Conclusion: Both bupivacaine and levobupivacaine for scalp block are equally effective in attenuating haemoynamic responses during Mayfield insertion. Levobupivacaine being less toxic can be a safe alternative for scalp block.

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Section: Introductionmentioning

confidence: 99%