Perioperative pain management in the neurosurgical patient.
Perioperative pain management in neurosurgical patients has been inadequately recognized and treated. An increased awareness of pain management and advances in understanding of pain modulation and pathophysiology have led to improved perioperative care of patients. There is a need to assess neurologic function while providing superior analgesia with minimal side effects. Several classes of drugs are currently available or under investigation for use as adjuvants or alternative therapies. There remains a need to determine the best treatment of perioperative pain in this patient population. Improved awareness, assessment, and treatment of pain result in better care and overall patient outcome.
Department of Anesthesiology, State University of New York, Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USA. lawrence.lai@downstate.edu
Lawrence T
LT
Lai
Jose R
JR
Ortiz-Cardona
Audrée A
AA
Bendo
D000698:Analgesia / Q000379:methods*; D000700:Analgesics / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use; D018712:Analgesics, Non-Narcotic / Q000008:administration & dosage / Q000627:therapeutic use; D000701:Analgesics, Opioid / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage / Q000627:therapeutic use; D003399:Craniotomy; D003692:Delayed-Action Preparations; D018691:Excitatory Amino Acid Antagonists / Q000627:therapeutic use; D006801:Humans; D007431:Intraoperative Complications / Q000628:therapy; D019635:Neurosurgical Procedures / Q000009:adverse effects / Q000379:methods*; D010146:Pain / Q000503:physiopathology; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D010149:Postoperative Pain / Q000628:therapy; D019990:Perioperative Care / Q000379:methods*; D013131:Spine / Q000601:surgery
D000700:Analgesics; D018712:Analgesics, Non-Narcotic; D000701:Analgesics, Opioid; D000894:Anti-Inflammatory Agents, Non-Steroidal; D003692:Delayed-Action Preparations; D018691:Excitatory Amino Acid Antagonists