Open AccessThe problem of acute postoperative pain in neurosurgical patients
Author(s) -
A. Lubnin,
A. Imaev,
А В Соленкова
Publication year - 2016
Publication title -
regionarnaâ anesteziâ i lečenie ostroj boli
Language(s) - English
Resource type - Journals
eISSN - 2687-1394
pISSN - 1993-6508
DOI - 10.18821/1993-6508-2016-10-4-282-290
Subject(s) - medicine , neurosurgery , fentanyl , anesthesia , morphine , acute pain , craniotomy , pain sensation , pain medicine , surgery , anesthesiology
This is review article concerned to problem of acute postoperative pain in neurosurgical patients. Many ears ago it was widely accepted that wast majority of neurosurgical patients don't have any pain sensation after craniotomy. Following investigations show that it mistake. In this article we discuss new data on statistics of acute postoperative pain after intracranial and spinal neurosurgical interventions, patophysiology of acute p/o pain and various methods preventing and treatment of this pain sensation. Regional scalp block, NSAID, i/v morphine on PCA approach, transdermal therapeutic forms of fentanyl and regional analgesia in spinal neurosurgery - are most perspective directions in solving of this problem.