Title: Comparative study on the operative outcome of EDH done under Regional Scalp Block and under General Anesthesia
Authors: Dr Md. Jahangir Alam, Dr Rajkumar Roy, Dr S.M. Asaduzzaman, Dr Md. Sarwar Murshed Alam, Dr Md. Shafiul Alam, Dr Md. Shafiqul Islam, Dr Md. Tofayel Hossain Bhuyin
An Epidural hematoma (EDH) is the direct result of physical trauma to the head which occur between inner surface of the skull and outer layer specially occur in children and young adults. In most cases involve arterial damage, disrupting one of the dural venous structure results EDH. In this case data were collected by a pre-designed proforma. Patient's information was obtained through using patient's information sheet which involved questionnaire, clinical findings, CT scan findings. Purposive sampling method was followed for the study. It was a prospective observational study. Clinically and radiologically diagnosed with EDH, 60 patients with head injury were included in the study. Group A: (regional scalp block): 30 and Group B (Anesthesia General): 30. History was taken from the relatives or attendants of the patients. Surgery was conducted and complication and outcome were recorded and compared between the two groups. In view of the fact that the surgical outcome and postoperative complication of extradural hematoma under regional scalp block (RSB) did not differ significantly from that of general anesthesia. As an appropriate and safe anesthetic procedure, RSB can therefore be recommended as a significant difference in the incidence of postoperative complication between two groups in EDH surgery. This study therefore suggests that RSB surgery is effective, safe and appropriate for extradural hematoma.
Keywords: Epidural Hematoma, Regional Scalp Block, Anaesthesia, Extradural Hematoma.