Published in:
12-03-2024 | Craniotomy | Acute Pain Medicine (R Urman, Section Editor)
Nerve Blocks for Craniotomy
Authors:
Andrea Stieger, Carolina S. Romero, Lukas Andereggen, Daniel Heisenberg, Richard D. Urman, Markus M. Luedi
Published in:
Current Pain and Headache Reports
|
Issue 5/2024
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Abstract
Purpose of Review
Postcraniotomy headache (PCH) is a common adverse event and can lead to various complications and decreased quality of life.
Recent Findings
To reduce postcraniotomy pain and associated complications, a multimodal pain therapy including analgesics, analgesic adjuncts, and regional anesthesia is essential. The use of opioids should be minimized to facilitate prompt postoperative neurosurgical assessment. Here, we provide an update on the latest evidence regarding the role of scalp nerve blocks in the pain management of patients undergoing craniotomy procedure.
Summary
Nerve blocks are effective in alleviating postoperative pain after craniotomy. Scalp blocks contribute to lower pain levels and less opioid consumption in the first 48 h following surgery. Moreover, there is a significant decrease in patients suffering from PONV among patients who receive scalp block.