Title |
Options for perioperative pain management in neurosurgery
|
---|---|
Published in |
Journal of Pain Research, February 2016
|
DOI | 10.2147/jpr.s85782 |
Pubmed ID | |
Authors |
Nalini Vadivelu, Alice M Kai, Daniel Tran, Gopal Kodumudi, Aron Legler, Eugenia Ayrian |
Abstract |
Moderate-to-severe pain following neurosurgery is common but often does not get attention and is therefore underdiagnosed and undertreated. Compounding this problem is the traditional belief that neurosurgical pain is inconsequential and even dangerous to treat. Concerns about problematic effects associated with opioid analgesics such as nausea, vomiting, oversedation, and increased intracranial pressure secondary to elevated carbon dioxide tension from respiratory depression have often led to suboptimal postoperative analgesic strategies in caring for neurosurgical patients. Neurosurgical patients may have difficulty or be incapable of communicating their need for analgesics due to neurologic deficits, which poses an additional challenge. Postoperative pain control should be a priority, because pain adversely affects recovery and patient outcomes. Inconsistent practices and the quality of current analgesic strategies for neurosurgical patients still leave room for improvement. Given the complexity of postoperative pain management for these patients, multimodal strategies are often required to optimize pain control and at the same time limit undesired side effects. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 9 | 45% |
Canada | 1 | 5% |
Uruguay | 1 | 5% |
Central African Republic | 1 | 5% |
Unknown | 8 | 40% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 17 | 85% |
Practitioners (doctors, other healthcare professionals) | 2 | 10% |
Science communicators (journalists, bloggers, editors) | 1 | 5% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 1% |
Colombia | 1 | <1% |
Unknown | 137 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Postgraduate | 15 | 11% |
Student > Bachelor | 15 | 11% |
Student > Master | 14 | 10% |
Other | 13 | 9% |
Student > Doctoral Student | 9 | 6% |
Other | 28 | 20% |
Unknown | 46 | 33% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 56 | 40% |
Nursing and Health Professions | 10 | 7% |
Neuroscience | 9 | 6% |
Pharmacology, Toxicology and Pharmaceutical Science | 5 | 4% |
Biochemistry, Genetics and Molecular Biology | 2 | 1% |
Other | 8 | 6% |
Unknown | 50 | 36% |