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Systematic Review and Meta-Analysis of Randomized Controlled Trials for Scalp Block in Craniotomy
Taylor Duda1,2, Melissa Lannon1,2, Pranjan Gandhi3
1Division of Neurosurgery, Department of Surgery, Hamilton General Hospital, McMaster University, Ontario, Canada.
Neurosurgery
|February 10, 2023
Summary
Scalp blocks effectively reduce postoperative pain and opioid use after craniotomy. This evidence supports scalp block as a valuable tool for enhancing patient recovery and managing pain.
Area of Science:
- Anesthesiology
- Neurosurgery
- Pain Management
Background:
- Scalp block involves regional anesthetic injections targeting cranial nerves.
- Scalp blocks may decrease postoperative pain and opioid consumption following craniotomy.
- Potential benefits of scalp blocks may extend beyond the immediate anesthetic period.
Conclusions:
- Scalp block effectively reduces postoperative pain and opioid consumption after craniotomy.
- This represents the first Level 1A evidence evaluating scalp block efficacy in craniotomy.
- Clinical utility requires consideration of modest absolute reductions and overall care optimization.
