Neuroanesthesia & neurocritical care

Ultrasound-guided Superficial Cervical Plexus Blocks for Persistent Pain after Suboccipital Craniotomies: A Randomized Trial

AnesthesiologyPublished Randomised controlled trial

Primary resultResult — go to the resultRelative risk 0.66 95% CI 0.50–0.88

Authors' conclusion

Superficial cervical plexus blocks reduce the incidence of persistent incisional pain by about a third in patients recovering from suboccipital craniotomies.

Study context

Population
Patients having suboccipital craniotomies
Participants
292 patients
Comparison
Ropivacaine vs Saline
  • Ropivacainen = 146
  • Salinen = 146reference
Primary endpoint
Incidence of persistent pain
Follow-up
3 months after surgery
Methodological detailssingle-centre, blinded, parallel-group, November 2021 to August 2023
  • Single-centre
  • Blinded
  • Parallel-group
  • November 2021 to August 2023

Primary result

As reported in the abstract

3 months

Relative risk

0.66

95% CI 0.50–0.88

P = 0.003

Events by treatment group

Ropivacaine vs Saline
RR 0.66 (95% CI 0.50–0.88); P = 0.003

Further findings

OutcomeRopivacaineSalineRR (95% CI)P value
Persistent pain, ITT population · 3 monthsIntention-to-treat population36%53%0.69 (0.53–0.90)P = 0.005

Original publication

Ultrasound-guided Superficial Cervical Plexus Blocks for Persistent Pain after Suboccipital Craniotomies: A Randomized Trial. Anesthesiology. Published 23 September 2024. doi:10.1097/aln.0000000000005238

Composed by AI from the published abstract and checked against it. How Briefs are made →

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