Evidence map›Paper›PMID 40022547›Full record

Trial reportPain management2025

Posterior scalp block with bupivacaine and dexmedetomidine for pain management in posterior fossa surgeries: a prospective, double blind randomized controlled trial.

Sheethal N, Ashwin Pai V, Ramya Kateel, Arjun Balakrishnan, Raghavendra Nayak, Girish R Menon, Sunitha M, Ravitej Bhat

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Pain management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Sheethal NDepartment of Anaesthesiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.
Ashwin Pai VDepartment of Neurosurgery, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.ORCID 0000-0002-7983-7481
Ramya KateelDepartment of Pharmacology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.ORCID 0000-0002-1678-591X
Arjun BalakrishnanDepartment of Anaesthesiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.ORCID 0000-0002-6155-6278
Raghavendra NayakDepartment of Neurosurgery, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.
Girish R MenonDepartment of Neurosurgery, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.ORCID 0000-0002-1849-0453
Sunitha MDepartment of Anaesthesiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.
Ravitej BhatDepartment of Anaesthesiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.ORCID 0009-0008-3026-8354

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPain management in posterior fossa surgeries poses significant challenges, with opioid-based approaches causing unwanted side effects. This study evaluates the efficacy of posterior scalp block using bupivacaine and dexmedetomidine compared to skin infiltration for managing perioperative pain.

methodsIn this prospective, double-blind, randomized controlled trial, 34 adult patients undergoing elective posterior fossa surgeries were equally assigned to either posterior scalp block or skin infiltration groups. Outcomes measured included hemodynamic parameters, pain scores, opioid consumption, time to first analgesic, and sedation levels.

resultsThe posterior scalp block group showed significantly lower opioid consumption (211.47 ± 101.95 mcg vs 305.88 ± 117.10 mcg;

conclusionsPosterior scalp block with bupivacaine and dexmedetomidine significantly improves pain management, reduces opioid use, and provides better hemodynamic stability compared to skin infiltration in posterior fossa surgeries. CLINICAL

trial registrationCTRI/2023/07/0554959.

Indexed as

Analgesics, Non-NarcoticAnesthetics, LocalBupivacaineCranial Fossa, PosteriorDexmedetomidineNerve BlockPain ManagementPostoperative PainAdultAnalgesics, OpioidDouble-Blind MethodFemaleHumansMaleMiddle AgedProspective StudiesAnalgesics, Non-NarcoticAnalgesics, OpioidAnesthetics, LocalBupivacaineDexmedetomidineanalgesiabupivacainedexmedetomidineopioid reductionpain managementPosterior scalp blockregional anesthesia

Identifiers

PMID40022547
PMCPMC11881862

What OpenQuestion holds

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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.