Scalp block with bupivacaine and ropivacaine for attenuation of haemodynamic response to head pinning in neurosurgical patients: An observational study

Authors : Deepak Singh, Rashmi Thakur, Rashmi Naik, Vivek Mangal

DOI : 10.18231/2394-4994.2019.0003

Volume : 6

Issue : 1

Year : 2019

Page No : 6-10

Objective: Present study was performed to compare the effectiveness of bupivacaine and ropivacaine for scalp block on the haemodynamic response during skull-pin insertion.
Materials and Method: Ninety patients who underwent elective craniotomy were divided into two equal groups (n=45). After routine induction, patients were intubated. All the patients received scalp blocks with 20 ml of either 0.5% bupivacaine (group B) or 0.5% ropivacaine (group R) approximately 5 minutes before skull-pins insertion. Heart rate (HR) and mean arterial pressure (MAP) were recorded at 60sec, 120 sec and 300 sec following head pin insertion.
Results: MAP and HR were stable during and after head pinning in both the groups at all time points.
Conclusion: Both bupivacaine and ropivacaine for scalp block are equally effective for blunting hemodynamic responses during head pinning. Ropivacaine being less toxic can be a safe alternative for scalp block.

Keywords: Anaesthesia, Local anaesthesia, Scalp block, Bupivacaine, Ropivacaine, Hemodynamic.

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