Chowdhury Tumul, Garg Rakesh, Sheshadri Veena, Venkatraghavan Lakshmi, Bergese Sergio Daniel, Cappellani Ronald B, Schaller Bernhard
Department of Anesthesiology and Perioperative Medicine, University of Manitoba , Winnipeg, MB , Canada.
Department of Anesthesiology, Pain and Palliative Care, Dr. BRAIRCH, All India Institute of Medical Sciences , New Delhi , India.
Front Med (Lausanne). 2017 Mar 1;4:23. doi: 10.3389/fmed.2017.00023. eCollection 2017.
The perioperative management of post-craniotomy pain is controversial. Although the concept of pain control in non-neurosurgical fields has grown substantially, the understanding of neurosurgical pain and its causative factors in such a population is inconclusive. In fact, the organ that is the center of pain and its related mechanisms receives little attention to alleviate distress during neurosurgical procedures. In contrast to the old belief that pain following intracranial surgery is minimal, recent data suggest the exact opposite. Despite the evolution of various multimodal analgesic techniques for optimal pain control, the concern of post-craniotomy pain remains. This paradox could be due to the lack of thorough understanding of different perioperative factors that can influence the incidence and intensity of pain in post-craniotomy population. Therefore, this review aims to give an in-depth insight into the various aspects of pain and its related factors in adult neurosurgical patients.
开颅术后疼痛的围手术期管理存在争议。尽管非神经外科领域的疼痛控制概念有了很大发展，但对于此类人群中神经外科疼痛及其致病因素的理解尚无定论。事实上，作为疼痛中心的器官及其相关机制在神经外科手术过程中很少受到关注以减轻痛苦。与过去认为颅内手术后疼痛极小的观念相反，最近的数据表明情况恰恰相反。尽管出现了各种用于优化疼痛控制的多模式镇痛技术，但开颅术后疼痛问题依然存在。这种矛盾可能是由于对不同围手术期因素缺乏深入了解，这些因素会影响开颅术后人群疼痛的发生率和强度。因此，本综述旨在深入洞察成年神经外科患者疼痛的各个方面及其相关因素。
