A45 Postoperative Pain Management in Patients Undergoing Craniotomy
Conference paper > Summary Text
Authors: Abdurrahim DERBENT, O. Anadolu, B. Yilmaz, Semra KARAMAN, I. Filizoglu, A. Ceylan, N. Gokmen
European Journal of Anaesthesiology, , , International, Summary Text, WoS, vol 29, pp S13-S13
DOI: 10.1097/01.eja.0000412491.87975.45
Summary
Background and Goal of The Study: The aim of this study was to assess the intensity and management of postoperative pain following craniotomy during early postoperative period. Methods: After Instutional Ethical Committee approval, we retrospectively reviewed the charts of the patients who underwent craniotomy between 2009- 2011. We reviewed the charts of 176 patients and 146 of them were included in the study. Although our primary interest was the patients’ postoperative analgesic requirements, we also examined post operative pain intensity. No analgesic was used till the patients has pain complaint. PACU’ s routine analgesic procedure (1 g paracetamol i.v., if there’ s still moderate pain after 30 min 75 mg diclofenac Na intramuscular (i.m.) added, if the pain persists 30 min later 75 mg i.v. tramadol infusion) was used for rescue analgesic medication (if VAS ≥ 4 and/or VRS ≥ 2). Results: There was a statistically significant relationship between postoperative VAS-VRS scores and postoperative analgesic requirements of the patients p<0,05. There was a strong relationship between craniotomy location (supratentorial- infratentorial) and postoperative analgesic requirements p<0,01. There was a strong relationship between gender of the patients and postoperative aanalgesic requirements p<0,01. Discussion and Conclusion: Our study showed that; craniotomy cause mild postoperative pain, women are more sensitive to this type of pain and pain following craniotomy depends on the location (supratentorial- infratentorial) of the surgery. References Gottschalk A, Yaster M. The perioperative management of pain from intracranial surgery. Neurocrit Care 2009; 10: 387–402.