Please use this identifier to cite or link to this item: http://cmuir.cmu.ac.th/jspui/handle/6653943832/67398
Title: Pain severity and pain control following intracranial surgery
Other Titles: ความรุนแรงของการปวดและการควบคุมความปวดหลังจากการผ่าตัดเปิดกะโหลกศีรษะ
Authors: Saringcarinkul A
Pin-on P
Chiratthanapong N
Chuasuwan S
Sattayopas P
Authors: Saringcarinkul A
Pin-on P
Chiratthanapong N
Chuasuwan S
Sattayopas P
Keywords: pain severity;pain control;tramadol;intracranial surgery
Issue Date: 2019
Publisher: Faculty of Medicine
Citation: Chiang Mai Medical Journal 58,4 (October-December 2019), 199-209
Abstract: 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.
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
URI: https://www.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/227783/155100
http://cmuir.cmu.ac.th/jspui/handle/6653943832/67398
ISSN: 0125-5983
Appears in Collections:CMUL: Journal Articles

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