A review of scalp blockade for cranial surgery

Alexander Papangelou, Batya R. Radzik, Timothy Smith, Allan Gottschalk

Research output: Contribution to journalArticle

Abstract

Neural blockade of the scalp may be used as an adjunct to general anesthesia or serve as the principal anesthetic for both intracranial and extracranial procedures. Effective scalp blockade typically requires anesthetizing multiple peripheral nerves; blockade of one or more of these is often used to diagnose and treat conditions such as chronic headache. Improved anatomic knowledge has refined the use of scalp blockade so that directed neural blockade is achieved. The vascularity of the scalp, proximity of arteries supplying the cerebral circulation, use of large volumes of local anesthetic, and presence of intracranial devices or bony defects require attention. The impact of perioperative scalp blockade on acute and chronic pain may offer insight into the benefits of perioperative neural blockade generally.

Original languageEnglish (US)
Pages (from-to)150-159
Number of pages10
JournalJournal of Clinical Anesthesia
Volume25
Issue number2
DOIs
StatePublished - Mar 2013

Fingerprint

Scalp
Cerebrovascular Circulation
Headache Disorders
Acute Pain
Local Anesthetics
Peripheral Nerves
Chronic Pain
General Anesthesia
Anesthetics
Arteries
Equipment and Supplies

Keywords

  • Acute pain
  • Chronic pain
  • Intracranial surgery
  • Local anesthetics
  • Neuroanesthesia
  • Regional anesthesia
  • Scalp blockade

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

A review of scalp blockade for cranial surgery. / Papangelou, Alexander; Radzik, Batya R.; Smith, Timothy; Gottschalk, Allan.

In: Journal of Clinical Anesthesia, Vol. 25, No. 2, 03.2013, p. 150-159.

Research output: Contribution to journalArticle

Papangelou, Alexander ; Radzik, Batya R. ; Smith, Timothy ; Gottschalk, Allan. / A review of scalp blockade for cranial surgery. In: Journal of Clinical Anesthesia. 2013 ; Vol. 25, No. 2. pp. 150-159.
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