Narrative review of acute post-craniotomy pain. Concept and strategies for prevention and treatment of pain.
Revisión narrativa del dolor agudo poscraneotomía. Concepto y estrategias de prevención y tratamiento del dolor.
Acupuncture Analgesia
/ methods
Acute Pain
/ prevention & control
Analgesics, Non-Narcotic
/ therapeutic use
Analgesics, Opioid
/ therapeutic use
Anti-Inflammatory Agents, Non-Steroidal
/ therapeutic use
Chronic Pain
/ prevention & control
Craniotomy
/ adverse effects
Dexmedetomidine
/ therapeutic use
Gabapentin
/ therapeutic use
Headache
/ classification
Humans
Pain Management
/ methods
Pain Measurement
/ methods
Pain, Postoperative
/ classification
Phenytoin
/ therapeutic use
Receptors, N-Methyl-D-Aspartate
/ antagonists & inhibitors
Craneotomía
Craniotomy
Dolor postoperatorio
Neurocirugía
Neurosurgery
Postoperative pain
Journal
Revista espanola de anestesiologia y reanimacion
ISSN: 2341-1929
Titre abrégé: Rev Esp Anestesiol Reanim (Engl Ed)
Pays: Spain
ID NLM: 101778594
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
received:
17
06
2019
revised:
05
08
2019
accepted:
02
09
2019
pubmed:
26
11
2019
medline:
6
3
2021
entrez:
26
11
2019
Statut:
ppublish
Résumé
The aim of this narrative review is to confirm that acute pain after craniotomy is frequent and presents with moderate to severe intensity. We also highlight the importance of not only treating post-craniotomy pain, but also of preventing it in order to reduce the incidence of chronic pain. Physicians should be aware that conventional postoperative analgesics (non-steroidal anti-inflammatory, paracetamol, cyclooxygenase inhibitors 2, opioids) are not the only options available. Performing a scalp block prior to surgical incision or after surgery, the use of intraoperative dexmedetomidine, and the perioperative administration of pregabalin are just some alternatives that are gaining ground. The management of post-craniotomy pain should be based on perioperative multimodal analgesia in the framework of an "enhaced recovery after surgery" (ERAS) approach.
Identifiants
pubmed: 31761317
pii: S0034-9356(19)30160-4
doi: 10.1016/j.redar.2019.09.002
pii:
doi:
Substances chimiques
Analgesics, Non-Narcotic
0
Analgesics, Opioid
0
Anti-Inflammatory Agents, Non-Steroidal
0
Receptors, N-Methyl-D-Aspartate
0
Phenytoin
6158TKW0C5
Dexmedetomidine
67VB76HONO
Gabapentin
6CW7F3G59X
Types de publication
Journal Article
Review
Langues
eng
spa
Sous-ensembles de citation
IM
Pagination
90-98Informations de copyright
Copyright © 2019. Publicado por Elsevier España, S.L.U.