Pain following Craniotomy: Reassessment of the Available Options

被引:41
作者
Haldar, Rudrashish [1 ]
Kaushal, Ashutosh [1 ]
Gupta, Devendra [1 ]
Srivastava, Shashi [1 ]
Singh, Prabhat K. [1 ]
机构
[1] Sanjay Gandhi Post Grad Inst Med Sci, Dept Anaesthesiol, Lucknow 226014, Uttar Pradesh, India
关键词
POSTOPERATIVE PAIN; RETROSIGMOID APPROACH; POSTCRANIOTOMY PAIN; PERSISTENT HEADACHE; ACOUSTIC NEUROMA; MANAGEMENT; MORPHINE; ANALGESIA; ANESTHESIA; SURGERY;
D O I
10.1155/2015/509164
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
Pain following craniotomy has frequently been neglected because of the notion that postcraniotomy patients do not experience severe pain. However a gradual change in this outlook is observed because of increased sensitivity of neuroanaesthesiologists and neurosurgeons toward acute postcraniotomy pain. Multiple modalities exist for treating this variety of pain each with its own share of advantages and disadvantages. However, individually none of these modalities has been proclaimed as the best and applicable universally. A considerable amount of dispute remains to ascertain the appropriate therapeutic regimen for treating postcraniotomy pain in spite of numerous trials using different drugs and their combinations. This review aims to highlight the genesis, characteristics, and different strategies that are undertaken for management of acute postcraniotomy pain. Chronic postcraniotomy pain which can be debilitating sequelae is also discussed concisely.
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页数:8
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