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Abstract Scalp blocks have multiple indications, including acute and chronic pain. It is also used to treat some types of headaches. These blocks are especially useful in cases of craniotomies in general and awake craniotomies in particular. They are invaluable especially when combined with sphenopalatine ganglion blocks, as the latter blocks the pain sensations from the dura as well. This facilitates the intraoperative neurological monitoring of the awake patient without administration of excessive mind-altering medications. To perform a scalp block, a total of six nerves are blocked bilaterally. While unilateral scalp block is theoretically possible, it is usually insufficient because of the need for Mayfield pinning. Values of a scalp block include hemodynamic stability after pinning, skin incision, and closure, as well as reduction of pain and opioid consumption in the early postoperative period. Complications from scalp block are rare, but it can be difficult to differentiate them from the neurological complications related to the disease or surgery. Potential complications include seizures from local anesthetic toxicity, trigeminal cardiac reflex activation, or the developmen

Author

Arthur Formanek

Publisher

Oxford University PressNew York

Published

2023

Language

EN

ISBN

9780197518533

Subjects

Medical, Management, Medicine