Pain severity and pain control following intracranial surgery

Pain severity and pain control following intracranial surgery

Chiang Mai Medical Journal (Formerly Chiang Mai Medical Bulletin) is an official journal of the Faculty of Medicine, Chiang Mai University. It accepts original papers on clinical and experimental research that are pertinent in the health sciences. The Journal is published 4 issues/year (i.e., Mar, J...

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Main Authors: Saringcarinkul A, Pin-on P, Chiratthanapong N, Chuasuwan S, Sattayopas P
Language:English
Published: Faculty of Medicine 2020
Subjects:
pain severity
pain control
tramadol
intracranial surgery
Online Access:https://www.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/227783/155100
http://cmuir.cmu.ac.th/jspui/handle/6653943832/67398
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Institution: Chiang Mai University
Language: English
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spelling th-cmuir.6653943832-673982020-04-02T14:45:06Z Pain severity and pain control following intracranial surgery ความรุนแรงของการปวดและการควบคุมความปวดหลังจากการผ่าตัดเปิดกะโหลกศีรษะ Saringcarinkul A Pin-on P Chiratthanapong N Chuasuwan S Sattayopas P pain severity pain control tramadol intracranial surgery Chiang Mai Medical Journal (Formerly Chiang Mai Medical Bulletin) is an official journal of the Faculty of Medicine, Chiang Mai University. It accepts original papers on clinical and experimental research that are pertinent in the health sciences. The Journal is published 4 issues/year (i.e., Mar, Jun, Sep, and Dec). Original articles, review articles, brief reports, case reports, and miscellany (editorials, perspectives, opinions, and letters to the editor) are welcome. All manuscripts submitted to Chiang Mai Medical Journal must not have been previously published (except in abstract form) or under consideration for publication elsewhere. Each submitted article will be reviewed by two referrees or more. Following publication, Chiang Mai Medical Journal reserves the copyright of all published materials and such materials may not be reproduced in any form without written permission from Chiang Mai Medical Journal. We strongly recommend that authors follow the guideline in manuscript preparation below. Failure to comply with the instruction will result in delay the processing of your paper Objective To explore the incidence and severity of acute post-craniotomy pain in Maharaj Nakorn Chiang Mai Hospital, including the adequacy of routine pain relief practices.MethodsPostoperative analgesia prescribed for patients undergoing elective intracranial surgery was classified into two surgical groups: the supratentorial and the infratentorial approaches. Demographic and perioperative clinical data, including the use of a scalp block and the dosage of fentanyl, were collected and analysed. Postoperative pain was assessed for three days following surgery using a numeric rating scale (NRS) or a revised non-verbal pain scale (NVPS-R). Pain medication treatment and side effects were recorded. Results Of 251 patients, 190 underwent a supratentorial craniotomy, while 61 were treated with an infratentorial approach. On the first postoperative day, the incidence of a NRS score ≥4 (moderate to severe pain) was 18.2-31.8% with NRS versus 6.4-11.1% for NVPS-R. The incidence of a pain score of zero gradually increased over time, reaching 100% in patients assessed with NVPS-R and 87% in those with NRS on day three. In the infratentorial group, a pre-incisional scalp block decreased pain scores upon arrival at the ward and for the first four-hour period after surgery (p=0.05 and 0.042, respectively). Over 90% of patients were prescribed intravenous tramadol every six hours on postoperative day one, but only 60% were given tramadol during the first 8-16 hours in the supratentorial group, while 75% of the infratentorial group received tramadol (p=0.021). ConclusionPain after intracranial surgery was effectively relieved with tramadol. NVPS-R should be investigated further to confirm its reliability as a tool for non-verbally communicating patients. 2020-04-02T14:45:06Z 2020-04-02T14:45:06Z 2019 Chiang Mai Medical Journal 58,4 (October-December 2019), 199-209 0125-5983 https://www.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/227783/155100 http://cmuir.cmu.ac.th/jspui/handle/6653943832/67398 Eng Faculty of Medicine
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
language English
topic pain severity
pain control
tramadol
intracranial surgery
spellingShingle pain severity
pain control
tramadol
intracranial surgery
Saringcarinkul A
Pin-on P
Chiratthanapong N
Chuasuwan S
Sattayopas P
Pain severity and pain control following intracranial surgery
description Chiang Mai Medical Journal (Formerly Chiang Mai Medical Bulletin) is an official journal of the Faculty of Medicine, Chiang Mai University. It accepts original papers on clinical and experimental research that are pertinent in the health sciences. The Journal is published 4 issues/year (i.e., Mar, Jun, Sep, and Dec). Original articles, review articles, brief reports, case reports, and miscellany (editorials, perspectives, opinions, and letters to the editor) are welcome. All manuscripts submitted to Chiang Mai Medical Journal must not have been previously published (except in abstract form) or under consideration for publication elsewhere. Each submitted article will be reviewed by two referrees or more. Following publication, Chiang Mai Medical Journal reserves the copyright of all published materials and such materials may not be reproduced in any form without written permission from Chiang Mai Medical Journal. We strongly recommend that authors follow the guideline in manuscript preparation below. Failure to comply with the instruction will result in delay the processing of your paper
author Saringcarinkul A
Pin-on P
Chiratthanapong N
Chuasuwan S
Sattayopas P
author_facet Saringcarinkul A
Pin-on P
Chiratthanapong N
Chuasuwan S
Sattayopas P
author_sort Saringcarinkul A
title Pain severity and pain control following intracranial surgery
title_short Pain severity and pain control following intracranial surgery
title_full Pain severity and pain control following intracranial surgery
title_fullStr Pain severity and pain control following intracranial surgery
title_full_unstemmed Pain severity and pain control following intracranial surgery
title_sort pain severity and pain control following intracranial surgery
publisher Faculty of Medicine
publishDate 2020
url https://www.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/227783/155100
http://cmuir.cmu.ac.th/jspui/handle/6653943832/67398
_version_ 1681426627763896320

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