Pain management after craniotomy

Allan Gottschalk, Myron Yaster

Research output: Contribution to journalReview articlepeer-review

Abstract

Historically, the pain associated with intracranial surgery has been undertreated because of a presumed lack of need and a fear that the use of opioids could interfere with the neurologic examination or lead to its deterioration. Much of the information concerning the quality, duration, and treatment of pain after craniotomy surgery is anecdotal. We discuss the conundrum that clinicians face in treating these patients, common myths, impediments to care, and commonly used analgesics in postoperative pain. Finally, recommendations based on our current practice are made about analgesic therapy and future research directions.

Original languageEnglish (US)
Pages (from-to)64-73
Number of pages10
JournalNeurosurgery Quarterly
Volume17
Issue number1
DOIs
StatePublished - Mar 1 2007

Keywords

  • Acetaminophen
  • Acute pain
  • Analgesia
  • Analgesics
  • Aspirin
  • Codeine
  • Craniotomy
  • Fentanyl
  • Ketorolac
  • Morphine
  • Neurosurgery
  • Nonopioid
  • Opioids
  • Oxycodone analgesics

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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