Severe anguish ( > 4 on a 0–10 scale) is commonly experienced during the foremost 48h with an incidence of pressingly 70% on the first postoperative ~light and 48% on the second postoperative day
Women, junior patients and patients who required opioid analgesics preoperatively set forth significantly greater levels of postoperative chagrin
Infratentorial procedures are associated with in addition severe pain than supratentorial procedures
Reduced harass has been reported with a translabyrinthine because opposed to a suboccipital approach conducive to acoustic neuroma resection
The amount of muscle hurt from resection of the temporalis and succeeding cervical muscles may also influence the stage of postoperative pain
Preoperative Gabapentin, parecoxib and lornoxicam may conquer opiate-induced hyperalgesia
the addition of ondansetron to PCA has not been shown to contract nausea and vomiting after craniotomy
ground of belief suggests that NSAIDs should be stopped preceding to neurosurgery and avoided in patients with cardiovascular disease.
Gabapentin given 7 days prior to surgery results in significantly sink postoperative pain scores and morphine use during the first 48 postoperative hours compared to phenytoin
Preoperative conversion to an act of nerve blocks or local anesthetic infiltration reduces intraoperative analgesic requirements and may refrain from to reduce pain in the betimes postoperative period
#craniotomy , #painmanagement, #painaftercraniotomy , #analgesia , #anesthesia ,#neurosurgery
(Ref: Acute and deep-seated pain following craniotomy Alana M. Flexman, Julie L. Ng and Adrian W. Gelb, Current Opinion in Anaesthesiology 2010, 23:551–557)
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