Lai Lawrence T, Ortiz-Cardona Jose R, Bendo Audrée A
Department of Anesthesiology, State University of New York, Downstate Medical Center, 450 Clarkson Avenue, Brooklyn, NY 11203, USA.
Anesthesiol Clin. 2012 Jun;30(2):347-67. doi: 10.1016/j.anclin.2012.05.004. Epub 2012 Jun 23.
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.
神经外科患者围手术期疼痛管理一直未得到充分认识和治疗。对疼痛管理认识的提高以及对疼痛调节和病理生理学理解的进展，已使患者围手术期护理得到改善。在提供具有最小副作用的优质镇痛的同时，有必要评估神经功能。目前有几类药物可供使用或正在研究用作辅助药物或替代疗法。仍有必要确定该患者群体围手术期疼痛的最佳治疗方法。对疼痛认识、评估和治疗的改善会带来更好的护理和患者总体预后。
