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Imaev A.A.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Dolmatova E.V.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Lubnin A.Yu.

Moscow Regional Research Institute of Obstetrics and Gynecology, Ministry of Health of the Moscow Region, Moscow, Russia, N.N. Burdenko Research Institute of Neurosurgery, Moscow, Russia, Department of Obstetrics and Gynecology, M.F. Vladimirsky Moscow Regional Research Clinical Institute, Moscow, Russia

Management of postoperative analgesia in patients after craniotomy

Authors:

Imaev A.A., Dolmatova E.V., Lubnin A.Yu.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2013;77(3): 54‑61

Read: 4995 times


To cite this article:

Imaev AA, Dolmatova EV, Lubnin AYu. Management of postoperative analgesia in patients after craniotomy. Burdenko's Journal of Neurosurgery. 2013;77(3):54‑61. (In Russ., In Engl.)

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References:

  1. Xefocam (lornoxicam). Novel pain relieving anti-inflammatory drug. Product monograph. Moscow, 1998.
  2. Imaev A.A., Dolmatova E.V., Lubnin A.Yu. Comparative study of the pre-emptive analgesia using xefocam, ropivacaine, and transdermal system with durogesic in patients after craniotomy. Anestheziol i reanimatol 2010; 4: 15–19.
  3. Ovechkin A.M., Karpov I.A., Losev S.V. Postoperative analgesia in the abdominal surgery: novel view on the existing problem. Anestheziol i reanimatol 2003; 5: 45–50.
  4. Osipova N.A., Petrova V.V., Veresaev V.A., et al. Prophylactic analgesia: new trend in anesthesiology. Foundation and development of the idea in works by team of the Moscow P.A. Gertsen Oncology Research Institute. Anestheziol i reanimatol 1999; 6: 13–18.
  5. Osipova N.A. Antinociceptive components of general anesthesia and postoperative analgesia. Anestheziol i reanimatol 1998; 5: 11–15.
  6. Osipova N.A., Beresnev V.A., Vetsheva M.S., Dolgopolov T.V. Ketoprofen (ketonal) - the drug for prophylaxis and treatment of postoperative pain. Anestheziol i reanimatol 1999; 6: 71–74.
  7. Petrova V.V., Osipova N.A., Beresnev V.A., et al. Lornoxicam (Xefokam) as a drug for prevention and treatment of postoperative pain among other NSAIDs. Anestheziol i reanimatol 2005; 5: 39–43.
  8. Sviridov S.V., Boutkevitch A.Ts., Rychkova S.V., et al. The choice of components and methods of postoperative analgesia after major abdominal surgery. Anestheziol i reanimatol 2003; 5: 50–55.
  9. Apfelbaum J.L., Chen C., Mehta S.S. et al. Postoperative pain experience: results from a national survey suggest postoperative pain continues to be undermanaged. Anesth Analg 2003; 97: 534—540.
  10. Arslan M., Tuncer B., Babacan A. et al. Postoperative analgesic effects of lornoxicam after thyroidectomy: a placebo controlled randomized study. Agri 2006; 18: 27—33.
  11. Ayoub C., Girard F., Boudreault D. et al. A comparison between scalp nerve block and morphine for transitional analgesia after remifentanil-based. Anesthesia in Neurosurgery. Anest Analg 2006; 103: 1237—1240.
  12. Biswas B., Bithal P. Preincision 0.25% bupivacaine scalp infiltration and postcraniotomy pain: a randomized double-blind, placebo-controlled study. J Neurosurg Anesthesiol 2003; 15: 234—239.
  13. Bloomfield E., Schubert A., Secic M. et al. The influence of scalp infiltration with bupivacaine on hemodynamics and postoperative pain in adult patients undergoing craniotomy. Anesth Analg 1998; 87: 579—582.
  14. Bonica J.J. In: The Management of Pain. 3rd ed. Ed. W.A. Wilkins. Philadelphia: Lippincott 2001; 1805—1831: 1842—1847.
  15. Charlton J.E. Treatment of postoperative pain. Pain 2002 — an Updated Review. Seattle 2002; 351—355.
  16. Collis R., Bradner B., Bromley L.M. et al. Is there any clinical advantage of increasing the pre-emptive dose of morphine or combining pre-incisional with postoperative morphine administration? Br J Anaesth 1995; 74: 396—399.
  17. Conway C. Neurological Anaesthesia. In: A practice of anaesthesia. 5th ed. Ed. H.C. Churchill Davidson. London: Lloyd Luke 1984; 765—792.
  18. Cousins M.J., Power I., Smith G. Pain — a persistent problem. Reg Analg Pain Med 2000; 25: 6—21.
  19. Cunliffe M. Codeine phosphate in children: time for reevaluation? Br J Anaesth 2001; 86: 329—331.
  20. Dahl J.B., Møiniche S. Pre-emptive analgesia. Br Med Bull 2004; 71: 13—27.
  21. Dahl J.L., Gordon D., Ward S. et al. Institutionalizing pain management: The post-operative pain management quality improvement project. J Pain 2003; 4: 361—371.
  22. De Benedittis G., Lorenzetti A., Spagnoli D. et al. Postoperative pain in neurosurgery: a pilot study in brain surgery. Neurosurgery 1996; 38: 466—470.
  23. De Gray L.C., Matta B.F. Acute and chronic pain following craniotomy : a review. Anaesthesia 2005; 60: 693—704.
  24. De Witte J., Schoenmaekers B., Sessler D., Deloof T. The analgesic efficacy of tramadol is impaired by concurrent administration of ondansetron. Anesth Analg 2001; 92: 1319—1321.
  25. Dolin S.J., Cashman J.N., Bland J.M. Effectiveness of acute postoperativepain management: I. Evidence from published data. Br J Anaesth 2002; 89: 409—423.
  26. Dolmatova E.V., Imaev A.A., Lubnin A.Y. «Scheduled» dosing of lornoxicam provides analgesia superior to that provided by «on request» dosing following craniotomy. Eur J Anaesthesiol 2009; 26: 8: 633—635.
  27. Doyle E., Bowler G.M.R. Pre-emptive effect of multimodal analgesia in thoracic surgery. Br J Anaesth 1998; 80: 147—151.
  28. Dunbar P.J., Visco E., Lam A.M. Craniotomy procedures are associated with less analgesic requirements than other surgical procedures. Anesth Analg 1999; 88: 335—340.
  29. Gee J.R., Ishaq Y., Vijayan N. Lost craniotomy headache. Headache 2003; 43: 270—278.
  30. Gillis J.C., Brogden R.N. Ketorolac. A reappraisal of its pharmacodynamic and pharmacokinetic properties and therapeutic use in pain management. Drugs 1997; 53: 139—188.
  31. Goldsack C., Scuplak S., Smith M. A double-blind comparison of codeine and morphine for postoperative analgesia following intracranial surgery. Anaesthesia 1996; 51: 1029—1032.
  32. Gong Z.Y., Ye T.H., Qin X.T. et al. Patient-controlled analgesia with lornoxicam in patients undergoing gynecological surgery. Zhongguo Yi Xue Ke Xue Yuan Xue Bao 2001; 23: 472—475 (Abstract).
  33. Gottschalk A., Berkow L.C., Stevens R.D. et al. Prospective evaluation of pain and analgesic use following major elective intracranial surgery. J Neurosurg 2007; 106: 210—216.
  34. Ilias W., Jansen M. Pain control after hysterectomy: an observer-blind, randomised trial of lornoxicam versus tramadol. Br J Clin Pract 1996; 50: 197—202.
  35. Jeffrey H., Charlton P., Mellor D. et al. Analgesia after intracranial surgery: a double-blind, prospective comparison of codeine and tramadol. Br J Anaesth 1999; 83: 245—249.
  36. Kahn L., Alderfer R., Graham D. Seizures reported with tramadol. JAMA 1997; 278: 1661.
  37. Karamanlioglu B., Turan A., Memis D. et al. Infiltration with ropivacaine plus lornoxicam reduces postoperative pain and opioid consumption. Can J Anesth 2005; 52: 1047—1053.
  38. Katz J., Kavanagh B.P., Sandler A.N. et al. Pre-emptive analgesia. Cliinical evidence of neuroplasticity contributing to postoperative pain. Anesthesiology 1992; 77: 439—446.
  39. Kavanagh B.P., Katz J., Sandler A.N. Pain control after thoracic surgery. A review of current techniques. Anesthesiology 1994; 81: 737—759.
  40. Klopfenstein C.E., Herrmann E.R., Mamie С. Pain intensity and pain relief after surgery. A comparison between patients’ reported assessments and nurses’ and physicians’ observations. Acta Anaesthesiol Scand 2000; 44: 58—62.
  41. Koperer H., Deinsberger W., Jodicke A. et al. Postoperative headache after the lateral suboccipital approach: craniotomy versus craniectomy. Minim Inv Neurosurg 1999; 42: 175—178.
  42. Kullich W., Klein G. Die ausschuttung der korperreigenen opiatpeptide dynorphin und SS–endorphin unter dem einfluss des nicht–steroidalen antirheumatikums lornoxicam IV. Aktuel Reumatol 1992; 17: 128—132.
  43. Law-Koune J.-D., Szekely B., Fermanian C. et al. Scalp infiltration with bupivacaine plus epinephrine or plain ropivacaine reduces postoperative pain after supratentorial craniotomy. J Neurosurg Anesthesiol 2005; 17: 139—143.
  44. Leslie K., Troedel S., Irwin K. et al. Quality of recovery from anesthesia in neurosurgical patients. Anesthesiologe 2003; 99: 1158—1165.
  45. MacEwan A., Sigston L.E., Andrews K.A. A comparison of rectal and intramuscular codeine phosphate in children following neurosurgery. Paediat Anaesth 2000; 10: 189—193.
  46. MacKersie A. Anesthesia for Pediatric Surgery. In: Anaesthesia and intensive care for the neurosurgical patient. 2nd ed. Eds. W.S. Ingram, Jenkinson. Oxford: Blackwell Scientific Publications 1993; 345—372.
  47. Macrae W.A. Chronic pain after surgery. Br J Anaesth 2001; 87: 88—98.
  48. Mamdami M., Juurlink D.N., Lee D.S. et al. Cyclo-oxygenase-2 inhibitors versus non-selective non-steroidal anti-inflammatory drugs and congestive heart failure outcomes in eldry patients: a population-based cohort study. Lancet 2004; 363: 1751—1756.
  49. McCrory C.R., Lindahl S.G. Cyclooxygenase inhibition for postoperative analgesia. Anesth Analg 2002; 25: 169—176.
  50. Meissner W., Ullrich K., Zwacka S. Qualiti management in postoperative pain therapy. Anasthesist 2001; 50: 9: 661—670.
  51. Melzack R., Wall P. Handbook of pain management. New York: Churchill Livingstone 2003.
  52. Merry A., Power I. Perioperative NSAIDs: towards greater safety. Pain Rev 1995; 2: 268—291.
  53. Nguyen A., Girard F., Boudreault D. et al. Scalp nerve blocks decrease the severity of pain after craniotomy. Anesth Analg 2001; 93: 1272—1276.
  54. Nolli M., Apolone G., Nicosia F. Postoperative analgesia in Italy. National survey on the anaesthetists beliefs, opinions, behaviour and techniques in postoperative pain control in Italy. Acta Anaesthesiol Scand 1997; 41: 573—580.
  55. Notermans S.L.H., Tophoff M.M.W.A. Sex differences in pain tolerance and pain perception. Psychiat Neurol Neurochir 1967; 70: 23—39.
  56. Packard К.С., Ham L.P. Pathogenesis of posttraumatic headache and migraine: a common headache pathway. Headache 1997; 37: 142—152.
  57. Palmer J.D., Sparrow О.С., Ianotti F. Postoperative haematoma: a five-year survey and identification of avoidable risk factors. Neurosurgery 1994; 35: 1061—1065.
  58. Pang W., Mok M., Lin C. et al. Comparison of patient-controlled analgesia (PCA) with tramadol or morphine. Can J Anaesth 1999; 46: 1030—1035.
  59. Papadima A., Lagoudianakis E.E., Antonakis P.T. et al. Parecoxib vs. lornoxicam in the treatment of postoperative pain after laparoscopic cholecystectomy: a prospective randomized placebo-controlled trial. Eur J Anaesthesiol 2007; 24: 2: 154—158.
  60. Parke T.J., Lowson S.M., Uncles D.R. et al. Pre-emptive versus post-surgical administration of ketorolac for hysterectomy. Eur J Anaesthesiol 1995; 12: 6: 549—553.
  61. Perkins F.M., Kehlet H. Chronic pain as an outcome of surgery—a review of predictive factors. Anesthesiology 2000; 93: 1123—1133.
  62. Pfund Z., Szapary L., Jaszberenyi O. et al. Headache in intracranial tumours. Cephalgia 1999; 19: 787—790.
  63. Powell A.E., Davies H.T.O., Bannister J., Macrae W.A. Rhetoric and reality on acute pain services in the UK: a national postal questionnaire survey. Br J Anaesth 2004; 92: 689—693.
  64. Quiney N.F., Cooper R., Stoneham M.D. et al. Pain after craniotomy. A tune for reappraisal? Br J Neurosurg 1996; 10: 295—299.
  65. Rosenow D.E., Albrechtsen M., Stolke D. A comparison of patient-controlled analgesia with lornoxicam versus morphine in patients undergoing lumbar disk surgery. Anesth Analg 1998; 86: 1045.
  66. Schessel D.A., Nedzelski J.M., Rowed D. et al. Pain after surgery for acoustic neuroma. Otolaryngol Head Neck Surg 1992; 107: 424—429.
  67. Schug S.A. When acute pain becomes chronic pain — is it here that ‘pre-emptive analgesia’ really plays a role? Int J Acute Pain Manag 1999; 2: 110—114.
  68. Scott Jellish W., Murdoch J., Leonetti J.P. Peri-operative management of complex skull base surgery. Neurosurg Focus 2002; 12.
  69. Smyth M., Banks J., Tubbs R. et al. Efficacy of scheduled nonnarcotic analgesic medications in children after suboccipital craniectomy. J Neurosurg (Pediatrics) 2004; 100: 183—186.
  70. Solomon D.H., Scheeweiss S., Glynn R.J. et al. Relationship between selective cyclooxygenase-2 inhibitor and acute myocardial infarction in older adults. Circulation 2004; 109: 2068—2073.
  71. Stoneham M., Cooper R., Quiney N. et al. Pain following craniotomy: a preliminary study comparing PCA morphine with intramuscular codeine phosphate. Anaesthesia 1996; 51: 1176—1178.
  72. Stoneham M.D., Walters F.J. Post-operative analgesia for craniotomy patients: current attitudes among neuroanaes-thetists. Eur J Anaesthesiol 1995; 12: 571—575.
  73. Talke P.O., Gelb A.W. Postcraniotomy pain remains a real headache. Eur J Anesthesiol 2005; 22: 325—327.
  74. Tanskanen P., Kytta J., Randell T. Patient-controlled analgesia with oxycodone in the treatment of postcraniotomy pain. Acta Anaesthesiol Scand 1999; 43: 42—45.
  75. Trampitsch E., Pipam W., Moertl M. et al. Preemptive randomized, double-blind study with lornoxicam in gynecological surgery. Schmerz 2003; 17: 4—10.
  76. Unlugenc H., Ozalevli M., Gunes Y. et al. Pre-emptive analgesic efficacy of tramadol compared with morphine after major abdominal surgery. Br J Anaesth 2003; 91: 209—213.
  77. Verchere E., Grenier B., Mesli A. et al. Postoperative pain management after supratentorial craniotomy. J Neurosurg Anesth 2002; 14: 96—101.
  78. Vijayan N. Postoperative headache in acoustic neuroma. Headache 1995; 2: 98—100.
  79. Visalyaputra S., Sanansilp V., Pechpaisit N. et al. Postoperative analgesic effects of intravenous lornoxicam and morphine with pre-emtive ropivacaine skin infiltration and preperitoneal instillation after transabdominal hysterectomy. J Med Ass Thai 2002; 85: Suppl 3: 1010—1016.
  80. Wall P.D. The prevention of postoperative pain. Pain 1988; 33: 289—290.
  81. Wang Z.Y., Wang C.Q., Yang J.J. et al. Which has the least immunity depression during postoperative analgesia--morphine, tramadol, or tramadol with lornoxicam? Clin Chim Acta 2006; 369: 40—45.
  82. Wilder-Smith O.H.G., Tassonvi E.C., Ben J.P. et al. Quantitative sensory resting and human surgery: cheers of analgesic management on postoperative neuroplasticity. Anesthesiology 2003; 98: 1214—1222.
  83. Williams D.G., Hatch D.J., Howard R.F. Codeine phosphate in paediatric medicine. Br J Anaesthesia 2001; 86: 413—421.
  84. Wilson R.J., Leith S., Jackson I.J. et al. Pre-emptive analgesia from intravenous administration of opioids. No effect with alfentanil. Anaesthesia 1994; 49: 7: 591—593.
  85. Woodrow K.M., Friedman G.D., Siegelaub A.B. et al. Pain tolerance: differences according to age, sex and race. Psychosom Med 1972; 34: 548—556.

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