Regional scalp block – the key analgesic element of anesthesia for supratentorial craniotomy

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详细

This paper presents the key data on the effectiveness and safety of the regional anesthesia of the scalp, also known as the scalp block, for providing perioperative analgesia for supratentorial craniotomy. The authors describe the technique and its limitations and also trace the implementation of the scalp block method into the routine practice of the largest Russian neurosurgical clinic based on personal experience, results of the own research, and analysis of literature data.

作者简介

Alexander Kulikov

Burdenko National Medical Research Center of Neurosurgery

Email: akulikov@nsi.ru
ORCID iD: 0000-0002-2852-6544

старший научный сотрудник

俄罗斯联邦, 4th Tverskaya-Yamskaya, 16, 125047, Moscow

Valentina Tere

Burdenko National Medical Research Center of Neurosurgery

Email: valentinary@mail.ru
ORCID iD: 0000-0003-4247-8953
俄罗斯联邦, 4th Tverskaya-Yamskaya, 16, 125047, Moscow

Alexander Imaev

Burdenko National Medical Research Center of Neurosurgery

Email: aimaev@nsi.ru
ORCID iD: 0000-0003-4395-1327

MD, PhD

俄罗斯联邦, 4th Tverskaya-Yamskaya, 16, 125047, Moscow

Andrey Lubnin

Burdenko National Medical Research Center of Neurosurgery

编辑信件的主要联系方式.
Email: lubnin@nsi.ru
ORCID iD: 0000-0003-2595-5877
俄罗斯联邦, 4th Tverskaya-Yamskaya, 16, 125047, Moscow

参考

  1. Lubnin AY, Imaev AA, Solenkova AV. The problem of acute postoperative pain in neurosurgical patients. Regional anesthesia and acute pain management. 2016;10(4):282–290. doi: 10.18821/1993-6508-2016-10-4-282-290 (In Russ).
  2. Tsaousi GG, Logan SW, Bilotta F. Postoperative Pain Control Following Craniotomy: A Systematic Review of Recent Clinical Literature. Pain Pract. 2017;17(7):968–981. doi: 10.1111/papr.12548
  3. Nemergut EC, Durieux ME, Missaghi NB, Himmelseher S. Pain management after craniotomy. Best Pract Res Clin Anaesthesiol. 2007;21(4):557–573. doi: 10.1016/j.bpa.2007.06.005
  4. Gruenbaum SE, Meng L, Bilotta F. Recent trends in the anesthetic management of craniotomy for supratentorial tumor resection. Curr Opin Anaesthesiol. 2016;29(5):552–557. doi: 10.1097/ACO.0000000000000365
  5. Hansen MS, Brennum J, Moltke FB, Dahl JB. Pain treatment after craniotomy: where is the (procedure-specific) evidence? A qualitative systematic review. Eur J Anaesthesiol. 2011;28(12): 821–829. doi: 10.1097/EJA.0b013e32834a0255
  6. Salalykin VI. Mestnoe obezbolivanie. In: Manevich AZ, Salalykin VI, editors. Neiroanesteziologiya. Moscow: Meditsina; 1977. P:120–129.
  7. Pinosky ML, Fishman RL, Reeves ST, et al. The effect of bupivacaine skull block on the hemodynamic response to craniotomy. Anesth Analg. 1996;83(6):1256–1261. doi: 10.1097/00000539-199612000-00022
  8. Osborn I, Sebeo J. “Scalp block” during craniotomy: a classic technique revisited. J Neurosurg Anesthesiol. 2010;22(3):187–194. doi: 10.1097/ANA.0b013e3181d48846
  9. Costello TG, Cormack JR, Hoy C, et al. Plasma ropivacaine levels following scalp block for awake craniotomy. J Neurosurg Anesthesiol. 2004;16(2):147–150. doi: 10.1097/00008506-200404000-00007
  10. Costello TG, Cormack JR, Mather LE, et al. Plasma levobupivacaine concentrations following scalp block in patients undergoing awake craniotomy. Br J Anaesth. 2005;94(6):848–851. doi: 10.1093/bja/aei135
  11. Nguyen A, Girard F, Boudreault D, et al. Scalp nerve blocks decrease the severity of pain after craniotomy. Anesth Analg. 2001;93(5):1272-1276. doi: 10.1097/00000539-200111000-00048
  12. Ayoub C, Girard F, Boudreault D, et al. A comparison between scalp nerve block and morphine for transitional analgesia after remifentanil-based anesthesia in neurosurgery. Anesth Analg. 2006;103(5):1237-1240. doi: 10.1213/01.ane.0000244319.51957.9f
  13. Guilfoyle MR, Helmy A, Duane D, Hutchinson PJ. Regional scalp block for postcraniotomy analgesia: a systematic review and meta-analysis. Anesth Analg. 2013;116(5):1093–1102. doi: 10.1213/ANE.0b013e3182863c22
  14. Wardhana A, Sudadi S. Scalp block for analgesia after craniotomy: A meta-analysis. Indian J Anaesth. 2019;63(11):886–894. doi: 10.4103/ija.IJA_315_19
  15. Dobrodeyev AS, Salalykin VI, Tenediyeva VD, et al. Locoregional anesthesia as an analgesic component of anesthesiological provision of neurosurgical interventions into the brain. Russian journal of Anaesthesiology and Reanimatology. 2005;(3):4–8. (In Russ).
  16. Lubnin AY, Kulikov AS, Gavrilov AG, Kobyakov GL. Awake craniotomy. Russian journal of Anaesthesiology and Reanimatology. 2012;(4):28–37. (In Russ).
  17. Kulikov A, Lubnin A. Anesthesia for awake craniotomy. Curr Opin Anaesthesiol. 2018;31(5):506–510. doi: 10.1097/ACO.0000000000000625
  18. Imaev AA, Dolmatova EV, Lubnin AY. Comparative evaluation of pre-emptive analgesia with xefocam, ropivacaine, and durogesic transdermal therapeutic system in patients after craniotomy. Russian journal of Anaesthesiology and Reanimatology. 2010;(4):15–19. (In Russ).
  19. Kulikov A, Tere V, Sergi PG, et al. Preoperative Versus Postoperative Scalp Block Combined With Incision Line Infiltration for Pain Control After Supratentorial Craniotomy. Clin J Pain. 2021;37(3):194–198. doi: 10.1097/AJP.0000000000000905
  20. Arefiev AM, Lubnin AY, Kulikov AS. Dexmedetomidine vs clonidine. The best medication of prevention of hemodynamic response during awakening after craniotomy. Regional anesthesia and acute pain management. 2018;12(4):222–226. doi: 10.17816/1993-6508-2018-12-4-222-226 (In Russ).
  21. Imaev AA, Dolmatova EV, Kulikov AS, Lubnin AY. Using of transdermal therapeutic system Durogesic® for acute postoperative pain therapy in patients after craniotomy. Regional anesthesia and acute pain management. 2015;9(4):32–38. (In Russ).

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2. Fig. 1. Scalp innervation (by Salalykin [6])

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3. Fig. 2. Selective scalp nerve block for pterional craniotomy

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