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Review Article
Online Published: 06 Apr 2018
 


Postoperative pain management after craniotomy: Literature review and evaluation of evidence

Taiwo Akhigbe, Akinrinsola Damilola Tope, Ahusimere Anakwenze.


Cited By: 1

Abstract
Background:
The effective management of postoperative pain have the tendency to reduce morbidity and mortality. Currently it is becoming clear that appropriate and adequate analgesia is a significant component of post craniotomy care. The goal of this review is to analyse and appraise evidence for postoperative analgesia following craniotomy.

Methods:
Literature search conducted using EMBASE, Medline and Cochrane database for systematic reviews. Key words applied were” postoperative analgesia”, “neurosurgery”, “neurosurgical procedures”. Resultant yield limited to 10 years, English language journal, intracranial (craniotomy) surgeries. Studies were limited to English and those involving humans. Studies limited from 1995 to 2015. Relevant studies were isolated for further critique. About 30 trials were identified but some could not be retrieved.
Results:
Total of 140 citations were identified, after thorough screening non relevant studies and non-randomised clinical trials were exempted. One systematic review and three randomised controlled study, Studies were limited to English and those involving humans.

Conclusion:
The data available showed improved analgesia with use of codeine sulphate against the backdrop of the popular tramadol which is a weak opioid fraught with significant post-operative nausea and vomiting. Also some evidences support use of regional scalp block for post craniotomy analgesia. The non-narcotics paracetamol and NSAIDs such Ketoprofen are useful analgesia compliments

Key words: postoperative pain, analgesia, craniotomy, opioids


 
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How to Cite this Article
Pubmed Style

Taiwo Akhigbe, Akinrinsola Damilola Tope, Ahusimere Anakwenze. Postoperative pain management after craniotomy: Literature review and evaluation of evidence. Int J Med Rev Case Rep. 2018; 2(2): 14-16. doi:10.5455/IJMRCR.postoperative-pain-craniotomy

Web Style

Taiwo Akhigbe, Akinrinsola Damilola Tope, Ahusimere Anakwenze. Postoperative pain management after craniotomy: Literature review and evaluation of evidence. https://www.mdpub.net/?mno=290342 [Access: October 13, 2024]. doi:10.5455/IJMRCR.postoperative-pain-craniotomy

AMA (American Medical Association) Style

Taiwo Akhigbe, Akinrinsola Damilola Tope, Ahusimere Anakwenze. Postoperative pain management after craniotomy: Literature review and evaluation of evidence. Int J Med Rev Case Rep. 2018; 2(2): 14-16. doi:10.5455/IJMRCR.postoperative-pain-craniotomy


Vancouver/ICMJE Style

Taiwo Akhigbe, Akinrinsola Damilola Tope, Ahusimere Anakwenze. Postoperative pain management after craniotomy: Literature review and evaluation of evidence. Int J Med Rev Case Rep. (2018), [cited October 13, 2024]; 2(2): 14-16. doi:10.5455/IJMRCR.postoperative-pain-craniotomy


Harvard Style

Taiwo Akhigbe, Akinrinsola Damilola Tope, Ahusimere Anakwenze (2018) Postoperative pain management after craniotomy: Literature review and evaluation of evidence. Int J Med Rev Case Rep, 2 (2), 14-16. doi:10.5455/IJMRCR.postoperative-pain-craniotomy


Turabian Style

Taiwo Akhigbe, Akinrinsola Damilola Tope, Ahusimere Anakwenze. 2018. Postoperative pain management after craniotomy: Literature review and evaluation of evidence. International Journal of Medical Reviews and Case Reports, 2 (2), 14-16. doi:10.5455/IJMRCR.postoperative-pain-craniotomy


Chicago Style

Taiwo Akhigbe, Akinrinsola Damilola Tope, Ahusimere Anakwenze. "Postoperative pain management after craniotomy: Literature review and evaluation of evidence." International Journal of Medical Reviews and Case Reports 2 (2018), 14-16. doi:10.5455/IJMRCR.postoperative-pain-craniotomy


MLA (The Modern Language Association) Style

Taiwo Akhigbe, Akinrinsola Damilola Tope, Ahusimere Anakwenze. "Postoperative pain management after craniotomy: Literature review and evaluation of evidence." International Journal of Medical Reviews and Case Reports 2.2 (2018), 14-16. Print. doi:10.5455/IJMRCR.postoperative-pain-craniotomy


APA (American Psychological Association) Style

Taiwo Akhigbe, Akinrinsola Damilola Tope, Ahusimere Anakwenze (2018) Postoperative pain management after craniotomy: Literature review and evaluation of evidence. International Journal of Medical Reviews and Case Reports, 2 (2), 14-16. doi:10.5455/IJMRCR.postoperative-pain-craniotomy


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