A51 Pain Following Craniotomy
Bildiriler > Özet Bildiri
Yazarlar: A. Ceylan, Abdurrahim DERBENT, N. Gokmen, O. Anadolu, Semra KARAMAN, Meltem UYAR
European Journal of Anaesthesiology, , , Uluslararası, Özet Bildiri, cilt 29, ss S15-S15
DOI: 10.1097/01.eja.0000412497.82137.e2
Özet
Background and the Goal of the Study: The aim of this study was to determine the etiology, quality and quantity of the pain after craniotomy in early postoperative period with using a visual analogue score (VAS) and a verbal rating scale (VRS). Metods: After the ethical committee approval, all craniotomy patients received 5 mg kg−1 Thiopental, 2 mcg kg−1 Fentanyl, 0,6 mg kg−1 rocuronium for induction of anesthesia, and 0,1- 2 mg kg hrs −1 propofol, 0,15–1,00 mcg. kg−1 min−1 remifentanyl with 50% oxygen-air mixture and additional doses of rocuronium (0,15 mg kg−1) for maintenance of anesthesia. Before craniotomy, scalp around incisional area was infiltrated with 20 ml local anesthetic (1% lidocaine with 35 mcg/mL adrenalin). All patients’ age, weight, height, sex and incisional area (supratentorial or infratentorial), the cause (vascular or tumor) and length of operation was recorded. All patients’ heart rate, systolic and diastolic blood pressure, Ramsay sedation status scale was assessed and reported in 0., 30. and 60. minutes after operation and during discharge time from PACU unit. Patients who were unconscious before or after surgery, with limited cooperation and impaired cognitive functions excluded from study. Results: After craniotomy in early post-operative period, the pain was mild to moderate according to VRS, and was disturbing according to VAS scores. The average scores were 3,91 ± 2, 45 for VAS and 1,40 ± 1,08 for VRS at 0. minute of post operative period. There was statistically significant reduction at VAS and VRS values at 30. and 60. minutes. Conclusions: We found that, there is mild to moderate pain after craniotomy. We think it is probably due to local anesthetic infiltration of surgical scalp area before incision.We couldn’t find any correlation or statistically significant relationship according to VAS and VRS with supratentorial or infratentorial surgical approaches,different surgical incisional style, vascular or tumoral pathology, ASA status of the patients, BMI, age range and duration of surgery.There was significant correlation only with gender and the pain after craniotomy. References: Flexman AN, Ng LJ, Gelb A. Acute and chronic pain following craniotomy. Curr Opin Anesthesiol. 2010; 23: 551- 557