Ultrasound-guided scalp block to improve blood pressure, heart rate stability and pain after craniotomy
Official title: Efficacy of Scalp Block on Intraoperative Hemodynamic Responses and Postoperative Analgesia in Patients Undergoing Craniotomy
Run by Bangladesh Medical University · NCT07496632 · Data updated 2026-11-12
In adults having elective craniotomy, this study tests whether an ultrasound-guided scalp block reduces intraoperative heart-rate and blood-pressure changes and lowers pain and opioid needs in the first day after surgery.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 64 Years |
| Sex | All |
| Enrollment | 72 (estimated) |
| Sponsor | Bangladesh Medical University Academic / other |
| Locations | 1 site (Dhaka) |
| Status | Recruiting |
| Started | April 1, 2026 |
| Main results expected | October 30, 2026 |
| Study ends | October 30, 2026 |
| Registry record updated | September 30, 2026 |
| Trial ID | NCT07496632 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18-64 undergoing elective supratentorial craniotomy with ASA I-II and BM I range, BMI 18-30, GCS 9-15.
✕Probably not a fit
Patients who do not experience a notable reduction in intraoperative hemodynamic changes or postoperative pain may see no benefit from the scalp block.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized, interventional study compares an ultrasound-guided scalp block plus general anesthesia to standard surgical site infiltration with local anesthetic during elective supratentorial craniotomy. Primary questions are whether the scalp block smooths intraoperative hemodynamic fluctuations and decreases postoperative pain and opioid consumption within 24 hours. Participants receive general anesthesia and are assigned to receive either the scalp nerve block or the infiltration technique, with continuous monitoring of heart rate, blood pressure, and other vitals during surgery. Ultrasound guidance is used to improve accuracy and safety of the scalp block. The trial aims to determine if targeted regional anesthesia can improve perioperative stability and analgesia, potentially reducing systemic analgesic requirements.
Why it matters
Potential benefit: If successful, patients may experience more stable intraoperative vital signs and better pain control after surgery, with less need for opioids.
How similar studies have gone: Previous regional anesthesia approaches in cranial procedures have shown potential for improved analgesia and reduced opioid use, though results vary by technique and setting.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 18-64 years. * ASA (American Society of Anesthesiologists) physical status I or II. * Patients scheduled for elective supratentorial craniotomy. * BMI of 18 to 30 kg/m². * GCS score of 9 to 15. Exclusion Criteria: * Patient with instable blood pressure and heart rate. * Known allergy or hypersensitivity to local anesthetics. * Coagulation disorders or current anticoagulant therapy. * Infection at the injection site or systemic infection. * Patients with open skull defects.
Where it's running
-
Bangladesh Medical University
Dhaka, Bangladesh Recruiting
Study contacts
- Study coordinator: Kazi Mahzabin Arin, MD
- Email: kazimahzabinarin@bsmmu.edu.bd
- Phone: +8801754057689
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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.