title: Pain perception following different neurosurgical procedures: a quantitative prospective study.
abstract: BACKGROUND
  Pain following neurosurgery has never been given due attention.
  
  
  OBJECTIVE
  This was a prospective study to assess pain following various neurosurgical procedures.
  
  
  METHODS
  Patients underwent pain assessment on 11-point scale(0-10) for 24 hours following neurosurgery, and analyzed in relation to various factors.
  
  
  RESULTS
  Among total 159 patients, 88(55%), 58(37%) and 13(8%) had undergone cranial, spinal and peripheral nerve procedures respectively. The mean pain score within 12 hours was 3.51(SD ± 2.53), which increased significantly during 13-24 hours to 5.06(SD ± 2.6)(P<0.001). During 13-24 hours, the pain score among those who underwent infratentorial procedures (8.02 ± 2.77) was significantly higher than among those who underwent supratentorial procedures (3.48 ± 1.99)(P<0.001). The pain score of patients who underwent lumbar surgery (6.5 ± 1.93) was significantly higher than of those who underwent cervical surgery (4.04 ± 2.43)(P<0.001). Age and gender did not show any significant influence on pain.
  
  
  CONCLUSIONS
  Pain is significantly greater during 13-24 hours after neurosurgery, especially after infratentorial and lumbar surgical procedures, compared to others.
authors: a Department of Neuro-nursing , PGIMER , Chandigarh , India.
authors: Manju
authors: M
authors: Dhandapani
authors: b Department of Neurosurgery , PGIMER , Chandigarh , India.
authors: Sivashanmugam
authors: S
authors: Dhandapani
authors: c Department of Neuro-nursing , AIIMS , New Delhi , India.
authors: Meena
authors: M
authors: Agarwal
authors: d Department of Neurosurgery , AIIMS , New Delhi , India.
authors: A K
authors: AK
authors: Mahapatra
mesh_terms: D000328:Adult; D000367:Age Factors; D003391:Cranial Nerves / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000009:adverse effects*; D010147:Pain Measurement / Q000379:methods; D058748:Pain Perception; D010149:Postoperative Pain / Q000175:diagnosis* / Q000209:etiology*; D010525:Peripheral Nerves / Q000601:surgery*; D011446:Prospective Studies; D012737:Sex Factors; D013127:Spinal Nerves / Q000601:surgery*; D013997:Time Factors
keywords: infratentorial; lumbar; neurosurgery; nursing; pain