Evidence map›Paper›PMID 39609724›Full record

Trial reportBMC anesthesiology2024

Effect of scalp nerve block on postcraniotomy analgesia in children: a randomized, controlled trial.

Wei Xiong, Yaxin Wang, Lu Li, Ling Li, Yifan Feng, Yan Liu, Bin Liu, Xu Jin

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Comparative analysis of analgesic mechanisms in craniotomy pediatric patients: a scoping review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  4. Regional scalp block for post-craniotomy pain management in children: a scoping review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Wei Xiong *Department of Anesthesiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100070, China.
Yaxin Wang *Department of Anesthesiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100070, China.
Lu Li *Department of Anesthesiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100070, China.
Ling LiDepartment of Anesthesiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100070, China.
Yifan FengDepartment of Anesthesiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100070, China.
Yan LiuDepartment of Anesthesiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100070, China.
Bin LiuDepartment of Anesthesiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100070, China.
Xu JinDepartment of Anesthesiology, Cancer Hospital Chinese Academy of Medical Sciences, Beijing, 100191, China. jxsys2020@gmail.com.

Funding

Beijing Municipal Hospital Scientific Research Training Program PX2017011
6 · The paper itself

Abstract

objectiveEffective postoperative pain management is critical for pediatric craniotomies. Scalp nerve block (SNB) interventions present a potential solution, yet their comparative benefits in preoperative and postoperative settings remain unclear. This study investigated the analgesic effects of SNB in pediatric craniotomy patients by comparing preoperative versus postoperative administration.

methodsThis randomized trial included 180 children (1-12 years) who underwent elective craniotomy and were assigned to the preoperative, postoperative, or nonblocking control group. The outcomes included cumulative sufentanil use, pain scores (1, 2, 4, 24, 48 h postoperation), rescue medicine utilization, postoperative complications (24, 48 h), and hospitalization length. The primary outcome was total sufentanil use within 24 h postsurgery.

resultsTotal sufentanil use (µg·kg

conclusionCompared with preoperative SNB or nonblocking, postoperative SNB significantly reduces postoperative sufentanil use within 24 h for pediatric patients undergoing craniotomy, highlighting its potential as an effective analgesic intervention in this population.

trial registrationThe trial was registered at the Chinese Clinical Trial Registry (ChiCTR1800017386) on 27/07/2018, under the title "A study of scalp nerve block for neurosurgical analgesia in children with craniotomy."

Indexed as

CraniotomyNerve BlockPostoperative PainScalpSufentanilAnalgesics, OpioidChildChild, PreschoolFemaleHumansInfantMaleAnalgesics, OpioidSufentanilChildrenCraniotomyPostoperative analgesiaRandomized controlled trialScalp nerve block

Identifiers

PMID39609724
PMCPMC11603626

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.