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Current Pain and Headache Reports

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

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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.
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Metadata
Title
Nerve Blocks for Craniotomy
Authors
Andrea Stieger
Carolina S. Romero
Lukas Andereggen
Daniel Heisenberg
Richard D. Urman
Markus M. Luedi
Publication date
12-03-2024
Publisher
Springer US
Published in
Current Pain and Headache Reports
Print ISSN: 1531-3433
Electronic ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-024-01236-4