COVID-19 Update - This is to inform you that the Government of India has announced a complete lockdown in India 22nd March 2020 to 14th April 2020. As a result, our offices will now be closed till 14th April 2020 and all our employees will be working from home. Office telephones will not be answered, and therefore you are requested to direct all your queries related to manuscript submission, review process, publication etc. at below mentioned details. editor@innovativepublication.com, rakesh.its@gmail.com, Mob. 8826373757, 8826859373, 9910947804

Article view: 522

Article download: 185

Indian Journal of Clinical Anaesthesia


Scalp block with bupivacaine and ropivacaine for attenuation of haemodynamic response to head pinning in neurosurgical patients: An observational study


Full Text PDF Share on Facebook Share on Twitter


Author Details : Deepak Singh, Rashmi Thakur*, Rashmi Naik, Vivek Mangal

Volume : 6, Issue : 1, Year : 2019

Article Page : 6-10


Suggest article by email

Abstract

Objective: Present study was performed to compare the effectiveness of bupivacaine and ropivacaine for scalp block on the haemodynamic response during skull-pin insertion.
Materials and Method: Ninety patients who underwent elective craniotomy were divided into two equal groups (n=45). After routine induction, patients were intubated. All the patients received scalp blocks with 20 ml of either 0.5% bupivacaine (group B) or 0.5% ropivacaine (group R) approximately 5 minutes before skull-pins insertion. Heart rate (HR) and mean arterial pressure (MAP) were recorded at 60sec, 120 sec and 300 sec following head pin insertion.
Results: MAP and HR were stable during and after head pinning in both the groups at all time points.
Conclusion: Both bupivacaine and ropivacaine for scalp block are equally effective for blunting hemodynamic responses during head pinning. Ropivacaine being less toxic can be a safe alternative for scalp block.

Keywords: Anaesthesia, Local anaesthesia, Scalp block, Bupivacaine, Ropivacaine, Hemodynamic.

Doi : 10.18231/2394-4994.2019.0003

How to cite : Singh D, Thakur R, Naik R , Mangal V, Scalp block with bupivacaine and ropivacaine for attenuation of haemodynamic response to head pinning in neurosurgical patients: An observational study. Indian J Clin Anaesth 2019;6(1):6-10

Copyright © 2019 by author(s) and Indian J Clin Anaesth. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (creativecommons.org)