Abstract
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.
Highlights
In the last 20 years, perioperative pain management has gained utmost importance, not at least because patient satisfactions parallel has risen to an absolute priority in health care systems
There was no association found between the gender difference and the post-craniotomy pain [2], which was supported by other studies as well [12, 26]
Preoperative anxiety and depression are the common psychological factors associated with post-craniotomy pain
Summary
Perioperative Factors Contributing the Post-Craniotomy Pain: A Synthesis of Concepts. The perioperative management of post-craniotomy pain is controversial. 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. 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. This review aims to give an in-depth insight into the various aspects of pain and its related factors in adult neurosurgical patients
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