Comparison of Ultrasound-Guided vs. Conventional Scalp Block for Postoperative Analgesia in Pediatric Supratentorial Tumor Surgeries: A Randomized Controlled Trial.

NCT07411274 Phase 3 NOT_YET_RECRUITING

Although scalp nerve blocks have been shown to provide effective postoperative analgesia in pediatric neurosurgical procedures, limited data exist on their use under ultrasound guidance. The smaller anatomical structures and higher vascularity of the pediatric scalp increase the risk of inadvertent vessel puncture or systemic toxicity with landmark-based techniques. Ultrasound guidance enables direct visualization of the targeted nerves and adjacent vessels, potentially improving block accuracy and safety. To date, no randomized controlled trial has compared ultrasound-guided versus conventional scalp block specifically in pediatric supratentorial tumor surgeries. This study aims to fill this gap.

Details

Lead sponsor	Cairo University
Phase	Phase 3
Status	NOT_YET_RECRUITING
Enrolment	74
Start date	2026-02
Completion	2026-10

Conditions

• Pain Postoperative

Interventions

• Ultrasound-guided scalp block
• conventional scalp block

Primary outcomes

• Mean arterial blood pressure intraoperatively from baseline till skin incision — from 5 minutes immediately before skin incision till the peak mean arterial blood pressure recorded within the first minute after incision
  The mean arterial blood pressure recorded during 5 minutes immediately before skin incision till the peak mean arterial blood pressure recorded within the first minute after incision