Scalp block versus general anesthesia for burr‑hole evacuation of subdural hematoma
Official title: Scalp Block Versus General Anesthesia in Patients Undergoing Evacuation of Subdural Hematoma Via Burr Hole
Run by Sohag University · NCT07143799 · Data updated 2026-11-12
This trial tests whether using a scalp block instead of general anesthesia helps adults (18–75) having burr‑hole evacuation of a subdural hematoma.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 80 (estimated) |
| Sponsor | Sohag University Academic / other |
| Locations | 1 site (Sohag) |
| Status | Recruiting |
| Started | August 11, 2025 |
| Main results expected | March 20, 2026 |
| Study ends | March 20, 2026 |
| Registry record updated | August 27, 2025 |
| Trial ID | NCT07143799 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18–75 with subdural hematoma scheduled for burr‑hole evacuation who are ASA II–III, have GCS ≥8, and do not have coagulopathy, infection at the injection site, heart block, or known sensitivity to study drugs are ideal candidates.
✕Probably not a fit
Patients with GCS <8, impaired coagulation, active infection at the injection site, significant heart block, or allergy to the study drugs are unlikely to benefit or be eligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults with subdural hematoma who meet eligibility criteria will be assigned to receive either a scalp block (local anesthetic) or standard general anesthesia (including cisatracurium for muscle relaxation) for burr‑hole evacuation. The study will compare intraoperative stability, postoperative pain control, immediate complications, and early recovery measures between the two approaches. Key inclusion criteria include age 18–75, ASA II–III, and GCS ≥8, while patients with coagulopathy, local infection, significant heart block, or known drug sensitivity are excluded. The procedure and assessments are conducted at a single center (Sohag University Hospital).
Why it matters
Potential benefit: If successful, this approach could reduce anesthesia‑related risks and improve pain control and early recovery after burr‑hole evacuation.
How similar studies have gone: Scalp block has been used in cranial surgery to reduce pain and blunt hemodynamic responses, but evidence specifically for burr‑hole evacuation is limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria * Age from 18 to 75 years old. * Both sexes. * American Society of Anesthesiologists (ASA) physical status II-III. * Patients with subdural hematoma undergoing burr-hole evacuation Exclusion Criteria: * Patients with a history of known sensitivity to study drugs. * Glasgow Coma Scale (GCS) \<8 * Impaired coagulation profile. * Any degree of heart block. * Infection at site of injection
Where it's running
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Sohag university hospital
Sohag, Egypt Recruiting
Study contacts
- Study coordinator: Mohamed H elsayed, Resident
- Email: sakr422022@gmail.com
- Phone: 01050053614
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.