Does scalp block with general anesthesia in craniotomy affect the intraoperative course and outcome in geriatric patients ?
Joint Authors
Abbas, Umar W.
Husayn, Jumah Z.
Abu al-Dahab, Hisham A.
Uthman, Safenas
Farid, Muhammad
Source
Ain Shams Journal of Anesthesiology
Issue
Vol. 8, Issue 1 (31 Mar. 2015), pp.25-30, 6 p.
Publisher
Ain Shams University Faculty of Medicine Department of Anesthesiology
Publication Date
2015-03-31
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Topics
Abstract EN
Background The noxious stimuli during supratentorial brain tumor resection in geriatric patients result in a vigorous hemodynamic response and stress response, which represents a challenge during anesthesia.
Patients and methods A total of 80 patients were enrolled in the study.
There were 43 male and 37 female patients undergoing elective supratentorial craniotomy.
Patients were randomly assigned into two equal groups: group B patients had scalp block using bupivacaine (0.5%) and epinephrine (1 : 400 000) and group F patients received fentanyl 2 μg/kg (during maintenance of general anesthesia (GA)).
Heart rate (HR), mean arterial pressure (MAP), plasma cortisol level, and intracranial pressure (ICP) were recorded at baseline (before induction of anesthesia), 1 min after intubation, 1 min after skin incision, 1 min after dural incision, 1 min after dural closure, 1 min after skin closure, and 1 min after extubation.
ICP measurement ceased at dural incision.
Time to recovery from anesthesia was also recorded.
Results MAP, HR, and plasma cortisol level showed signifi cant differences between groups, wherein group F had higher MAP, HR, and plasma cortisol level than group B.
Group B had rapid recovery period.
Conclusion Scalp block with 0.5 % bupivacaine with adrenaline 1 : 400 000 can be used as an alternative to general anesthesia with fentanyl in preventing the increase in arterial blood pressure (ABP), HR, ICP, cerebral perfusion pressure (CPP), and cortisol level, and also it allows early extubation and assessment of conscious level.
American Psychological Association (APA)
Abbas, Umar W.& Husayn, Jumah Z.& Abu al-Dahab, Hisham A.& Farid, Muhammad& Uthman, Safenas. 2015. Does scalp block with general anesthesia in craniotomy affect the intraoperative course and outcome in geriatric patients ?. Ain Shams Journal of Anesthesiology،Vol. 8, no. 1, pp.25-30.
https://search.emarefa.net/detail/BIM-650467
Modern Language Association (MLA)
Abbas, Umar W.…[et al.]. Does scalp block with general anesthesia in craniotomy affect the intraoperative course and outcome in geriatric patients ?. Ain Shams Journal of Anesthesiology Vol. 8, no. 1 (Jan. / Mar. 2015), pp.25-30.
https://search.emarefa.net/detail/BIM-650467
American Medical Association (AMA)
Abbas, Umar W.& Husayn, Jumah Z.& Abu al-Dahab, Hisham A.& Farid, Muhammad& Uthman, Safenas. Does scalp block with general anesthesia in craniotomy affect the intraoperative course and outcome in geriatric patients ?. Ain Shams Journal of Anesthesiology. 2015. Vol. 8, no. 1, pp.25-30.
https://search.emarefa.net/detail/BIM-650467
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 30
Record ID
BIM-650467