About this trial
this study amis to compare between Scalp block versus general anesthesia in patients undergoing evacuation of subdural hematoma via burr hole.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age from 18 to 75 years old.
Both sexes.
American Society of Anesthesiologists (ASA) physical status II-III.
Patients with subdural hematoma undergoing burr-hole evacuation
Disqualifiers
Patients with a history of known sensitivity to study drugs.
Glasgow Coma Scale (GCS) <8
Impaired coagulation profile.
Any degree of heart block.
Trial design
Parallel
Treatments tested in this trial
Cisatracurium
DrugInduction of general anesthesia will be done by IV propofol 2-2.5 mg / kg and IV fentanyl lug/kg. After IV Cis-atracurium 0.15mg/kg, endotracheal intubation will be done.
scalp block
Other interventionThe scalp block will target six pairs of sensory nerves that innervate the scalp: the supraorbital nerve, supratrochlear nerve, auriculotemporal nerve, zygomaticotemporal nerve, greater occipital nerve, and lesser occipital nerve. Local anesthetic (2% lidocaine and bupivacaine) will be infiltrated at specific anatomical landmarks corresponding to the course of each nerve.
Treatment groups
Trial outcomes
Primary outcomes
The aim of this prospective randomized study is to compare Scalp block versus general anesthesia in patients undergoing evacuation of subdural hematoma via burr hole.
Post operative scale by The Glasgow Coma Scale (GCS) and post operative hemodynamics.
Sponsors and contacts
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