Scalp blocks in nonsyndromic craniosynostosis surgery – a retrospective case series review

The management of perioperative pain in craniosynostosis repair: a systematic literature review of the current practices and guidelines for the future

“…2 ). The type of craniosynostosis was not mentioned in 5 studies [ 14 , 30 , 33 – 35 ]. Among the included patients, the majority underwent cranial vault remodeling ( n = 111), followed by endoscopic strip craniectomy ( n = 129), and followed by fronto-orbital advancement ( n = 78).…”

“…In total, nine articles describing the complete postoperative analgesic protocol were identified [ 2 , 10 , 27 – 29 , 31 , 33 , 35 , 37 ], including 407 (47.9%) patients. In a prospective randomized controlled trial of 40 craniosynostosis patients, Van der Marel et al compared oral acetaminophen versus rectal acetaminophen.…”

Postoperative analgesia for craniosynostosis reconstruction: Scalp nerve block or local anesthetic infiltration?

“…Sir–The postoperative pain management for craniosynostosis reconstruction is particularly challenging . Scalp nerve block and local anesthetic infiltration have never been compared for postoperative pain relief after craniosynostosis surgery . In our center, both techniques are usually performed to ensure postoperative analgesia, according to anesthesiologist practice and skill.…”

“…Two groups of patients were defined according to the analgesic technique performed, an infiltration or a block. Data were compared with student t test or Mann‐Whitney U test or test or Fisher test. A multivariate analysis (backward regression) was performed to identify the potential predictors for morphine administration in recovery room.…”

Evaluating the efficacy and safety of scalp blocks in nonsyndromic craniosynostosis surgery

“…Sir —In the article by Rothera et al . , the authors report their experience with the use of scalp blocks and evaluate the efficacy in reducing intraoperative analgesia, minimizing transfusion requirements, and improving metabolic parameters during surgery in patients with nonsyndromic craniosynostosis. They demonstrated a reduction in the requirement of intraoperative remifentanil, but there was no reduction in intraoperative blood loss or improvement in metabolic and hemodynamic criteria.…”