Scalp block for headache after aneurysmal subarachnoid hemorrhage in ICU patients

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This single-center randomized controlled trial at Hamad Medical Corporation compares a levobupivacaine scalp block plus conventional analgesic therapy versus conventional analgesics alone for adults with aneurysmal subarachnoid hemorrhage treated by endovascular methods. Eligible participants are adults admitted to the surgical ICU who are awake and meet neurological stability criteria, while patients with surgical clipping, chronic headache disorders, bleeding disorders, pregnancy, or local anesthetic allergy are excluded. The intervention delivers regional scalp anesthesia and investigators will measure headache severity, opioid consumption, ICU course, and adverse events during hospitalization. Patients are randomly assigned to one of the two arms and treated according to standardized analgesic protocols.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* All adults \> 18 years who are admitted to the Surgical Intensive Care Unit (SICU) with a confirmed diagnosis of aneurysmal subarachnoid hemorrhage, undergoing endovascular treatment of the aneurysm (coiling/flow diversion).

Exclusion Criteria:

1. Patients with aSAH undergoing surgical craniotomy and aneurysmal clipping.
2. Non-aneurysmal subarachnoid or other intracranial hemorrhage forms (e.g., Intracerebral hemorrhage).
3. SICU admission Glasgow Coma Scale (GCS) of 13 or lower.
4. WFNS Score 4 / 5 or requiring mechanical ventilation for more than 24 hrs.
5. Patients with known allergy to local anesthetics.
6. Admission to ICU \> 7 days after hemorrhage.
7. Patients with a documented bleeding disorder.
8. Patients with a history of chronic headache disorder or migraine.
9. Pregnancy

Where it's running

• Hamad Medical Corporation
  Doha, Qatar Recruiting

Study contacts

• Principal investigator: Sohel Mohamed Ahmed, Consultant — Hamad Medical Corporation
• Study coordinator: Sohel Mohamed Ahmed, Consultant
• Email: SAhmed65@hamad.qa
• Phone: +97450586481

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.