• Curr Pain Headache Rep · Mar 2024

    Review

    Nerve Blocks for Craniotomy.

    • Andrea Stieger, Carolina S Romero, Lukas Andereggen, Daniel Heisenberg, Richard D Urman, and Markus M Luedi.
    • Department of Anaesthesiology, Rescue and Pain Medicine, Cantonal Hospital of St. Gallen, St. Gallen, Switzerland. andrea.stieger@kssg.ch.
    • Curr Pain Headache Rep. 2024 Mar 12.

    Purpose Of ReviewPostcraniotomy headache (PCH) is a common adverse event and can lead to various complications and decreased quality of life.Recent FindingsTo 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. 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.© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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