Abstract

Purpose of Review

Postcraniotomy headache (PCH) is a common adverse event and can lead to various complications and decreased quality of life.

Recent Findings

To reduce postcraniotomy pain and associated complications, a multimodal pain therapy including analgesics, analgesic adjuncts, and regional anesthesia is essential. The use of opioids should be minimized to facilitate prompt postoperative neurosurgical assessment. Here, we provide an update on the latest evidence regarding the role of scalp nerve blocks in the pain management of patients undergoing craniotomy procedure.

Summary

Nerve blocks are effective in alleviating postoperative pain after craniotomy. Scalp blocks contribute to lower pain levels and less opioid consumption in the first 48 h following surgery. Moreover, there is a significant decrease in patients suffering from PONV among patients who receive scalp block.

中文翻译：

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用于开颅手术的神经阻滞

摘要

审查目的

开颅术后头痛（PCH）是一种常见的不良事件，可导致各种并发症和生活质量下降。

最近的发现

为了减少开颅术后疼痛和相关并发症，包括镇痛药、镇痛辅助剂和区域麻醉在内的多模式疼痛治疗至关重要。应尽量减少阿片类药物的使用，以促进术后及时进行神经外科评估。在这里，我们提供有关头皮神经阻滞在开颅手术患者疼痛管理中作用的最新证据的更新。

概括

神经阻滞可有效缓解开颅手术后的术后疼痛。头皮块有助于降低手术后 48 小时内的疼痛程度并减少阿片类药物的消耗。此外，接受头皮阻滞治疗的患者中，患有 PONV 的患者显着减少。