Skip to main content
OpenTrials
Completed

NCT Number: NCT06903598

Scalp Blocks for Pediatric External Ventricular Drainage Placement

External ventricular drainage (EVD) provides cerebrospinal fluid drainage in hydrocephalus. In adults, the neurosurgeon can place EVD at the bedside. In children, it is mainly preferred to be placed in the operating room under general anesthesia. However, general anesthesia may negatively affect oxygenation (during the intubation period) or cerebral blood flow (due to hypotension). This study investigates the use of regional block methods (without general anesthesia) in children for EVD placement.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Hydrocephalus in Children Pediatric Anesthesia Regional Block

Age range

1 day–18 year

Sex eligibility

All sexes

Study type

Observational

Primary location

University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital

Bursa, Yildirim, Turkey (Türkiye)

About this study

External ventricular drainage (EVD) provides cerebrospinal fluid drainage in hydrocephalus. In adults, EVD can be placed by the neurosurgeon at the bedside. In children, it is mainly preferred to be placed in the operating room under general anesthesia. However, general anesthesia may negatively affect oxygenation during a prolonged intubation period, leading to hypoxemia. Furthermore, hypotensive effects of general anesthesia may cause ischemia due to decreased cerebral blood flow.

Additionally, on the other hand, painful stimuli caused by surgical incisions or pins may cause hemorrhagic events due to a hypertensive period. Therefore, scalp blocks and local anesthetic infiltrations are recommended to prevent such adverse events. Although general anesthesia has been a routine for many anesthesiologists for EVD placement in children, this research hypothesizes that scalp blocks (along with sedatives) can be used as an anesthesia method for EVD placement.

This study investigates the use of regional block methods (to avoid general anesthesia) in children for EVD placement.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Children undergoing external ventricular drainage

Exclusion criteria

  • Children who were intubated preoperatively.

Treatment and study plan

Primary outcomes

  1. Anesthesia method

    Time frame: From enrollment to the end of surgery

    The anesthesia method used for the surgery (general anesthesia or sedation)

Secondary outcomes

  1. Analgesic consumption

    Time frame: Postoperative first 24 hours.

    Total analgesic consumption within the first 24 in the postoperative period.

Sponsors and collaborators

Lead sponsor

Hande Gurbuz

Other Gov

Collaborators

  • Bursa Yuksek Ihtisas Training and Research Hospital

Registry information

Official study title

Anesthesia and Analgesia Methods in Pediatric External Ventricular Drainage Placement

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Mar 31, 2025
Registry last updated
Mar 31, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Related clinical trials

Published trials that share one or more normalized conditions with this study.