Post craniotomy pain is defined as headache developed up to 7 days from a craniotomy, not otherwise explained. A moderate to severe pain affects from 60 to 84% of patients. Sphenopalatine ganglion block has been successfully used in patients with chronic or acute headache, facial pain and for transsphenoidal pituitary and endoscopic sinus surgeries. There are evidences that sphenopalatine ganglion block reduces vegetative responses to skull pin closure. This study aim to investigate feasibility and efficacy of sphenopalatine ganglion block in reducing pain after a neurosurgical supratentorial craniotomy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
84
A cotton swab soaked in levobupivacaine 7,5% in inserted into the nose to block sphenopalatine ganglion, with the classic technique previously described
Troncular scalp blockade. Local site infiltration
Sant'Anna Hospital
Ferrara, Emilia-Romagna, Italy
RECRUITINGNumerical Rating Scale
From 0 (no pain) to 10 (worst pain ever)
Time frame: Immediately post-op
Numerical Rating Scale
From 0 (no pain) to 10 (worst pain ever)
Time frame: 1° days post-op
Numerical Rating Scale
From 0 (no pain) to 10 (worst pain ever)
Time frame: 2° days post-op
Numerical Rating Scale
From 0 (no pain) to 10 (worst pain ever)
Time frame: 3° days post-op
Numerical Rating Scale
From 0 (no pain) to 10 (worst pain ever)
Time frame: 4° days post-op
Numerical Rating Scale
From 0 (no pain) to 10 (worst pain ever)
Time frame: 30° days post-op
Numerical Rating Scale
From 0 (no pain) to 10 (worst pain ever)
Time frame: 60° days post-op
Numerical Rating Scale
From 0 (no pain) to 10 (worst pain ever)
Time frame: 180° days post-op
Visual Analogic Scale
From 0 (no pain) to 10 (worst pain ever)
Time frame: Immediately post-op
Visual Analogic Scale
From 0 (no pain) to 10 (worst pain ever) on a straight line
Time frame: 1° day post-op
Visual Analogic Scale
From 0 (no pain) to 10 (worst pain ever) on a straight line
Time frame: 2° day post-op
Visual Analogic Scale
From 0 (no pain) to 10 (worst pain ever) on a straight line
Time frame: 3° day post-op
Visual Analogic Scale
From 0 (no pain) to 10 (worst pain ever) on a straight line
Time frame: 4° day post-op
Visual Analogic Scale
From 0 (no pain) to 10 (worst pain ever) on a straight line
Time frame: 30° day post-op
Visual Analogic Scale
From 0 (no pain) to 10 (worst pain ever) on a straight line
Time frame: 60° day post-op
Visual Analogic Scale
From 0 (no pain) to 10 (worst pain ever) on a straight line
Time frame: 180° day post-op
Pain Assessment IN Advanced Dementia
From 0 (no signs of pain) to 10 (Extreme pain)
Time frame: Immediately post-op
Pain Assessment IN Advanced Dementia
From 0 (no signs of pain) to 10 (Extreme pain)
Time frame: 1° day post-op
Pain Assessment IN Advanced Dementia
From 0 (no signs of pain) to 10 (Extreme pain)
Time frame: 2° day post-op
Pain Assessment IN Advanced Dementia
From 0 (no signs of pain) to 10 (Extreme pain)
Time frame: 3° day post-op
Pain Assessment IN Advanced Dementia
From 0 (no signs of pain) to 10 (Extreme pain)
Time frame: 4° day post-op
Pain Assessment IN Advanced Dementia
From 0 (no signs of pain) to 10 (Extreme pain)
Time frame: 30° day post-op
Pain Assessment IN Advanced Dementia
From 0 (no signs of pain) to 10 (Extreme pain)
Time frame: 60° day post-op
Pain Assessment IN Advanced Dementia
From 0 (no signs of pain) to 10 (Extreme pain)
Time frame: 180° day post-op
Adverse effect
Bitter taste, nose bleeding, throat discomfort
Time frame: Immediately post-op, 1°-2°-3°-4°-30°-60°180° days post-op
Vegetative response (Heart rate)
Heart rate in beat per minute
Time frame: 1-5-10 min from skull pin closure. 1-5-10 min from skin incision
Vegetative response (Arterial pressure)
Mean arterial pressure in mmHg
Time frame: 1-5-10 min from skull pin closure. 1-5-10 min from skin incision
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