4.2 Review

Prevention of Post-Operative Pain after Elective Brain Surgery: A Meta-Analysis of Randomized Controlled Trials

Related references

Note: Only part of the references are listed.
Review Medicine, General & Internal

Multimodal analgesia in neurosurgery: a narrative review

Caterina Aurilio et al.

Summary: Opioids have been the mainstay for postoperative pain management in brain surgery, but their use is limited due to potential side effects; multimodal analgesia targets pain pathways with different mechanisms of actions, resulting in additive and/or synergistic effects to provide adequate pain relief while minimizing drug-induced side effects.

POSTGRADUATE MEDICINE (2022)

Article Anesthesiology

Diclofenac Is Superior to Paracetamol in Postoperative Pain Scores and Analgesic Consumption in Supratentorial Craniotomy With No Difference in Platelet and Clot Function: A Prospective Randomized Controlled Trial

Ragula Rajkiran et al.

Summary: This study investigated the efficacy and safety of diclofenac compared with paracetamol for postcraniotomy pain management. The results showed that diclofenac provided more effective postoperative analgesia at 24 hours without adverse effects on coagulation profiles in patients undergoing craniotomy for supratentorial tumors.

JOURNAL OF NEUROSURGICAL ANESTHESIOLOGY (2022)

Article Clinical Neurology

The effect of scalp block or local wound infiltration versus systemic analgesia on post-craniotomy pain relief

Juliana Skutuliene et al.

Summary: This prospective, double-blind observational study compared the effect of different types of analgesia on postoperative pain reduction in patients undergoing craniotomy for brain tumor removal. The results showed that most patients experience pain in the early postoperative hours, and regional analgesia could help reduce the severity and amount of pain in this group of patients.

ACTA NEUROCHIRURGICA (2022)

Article Anesthesiology

Postoperative Analgesic Efficacy and Safety of Ropivacaine Plus Diprospan for Preemptive Scalp Infiltration in Patients Undergoing Craniotomy: A Prospective Randomized Controlled Trial

Xueye Han et al.

Summary: Infiltration of ropivacaine and Diprospan as an adjuvant to local anesthetic can achieve satisfactory postoperative pain relief after craniotomy. This technique is simple, easy, and safe, and deserves clinical promotion.

ANESTHESIA AND ANALGESIA (2022)

Article Medicine, General & Internal

Effect of scalp nerve block with ropivacaine on postoperative pain in pediatric patients undergoing craniotomy: A randomized controlled trial

Li Ning et al.

Summary: The study demonstrates that in pediatric craniotomies, SNB with 0.2% ropivacaine can effectively alleviate postoperative pain, provide good intraoperative hemodynamic stability, and reduce the consumption of anesthetics.

FRONTIERS IN MEDICINE (2022)

Article Anesthesiology

Ropivacaine instillation through subgaleal drain: A novel approach for acute post-craniotomy pain

Renu Bala et al.

Summary: Instillation of ropivacaine through surgical drain is an effective technique for reducing post-craniotomy pain and analgesic consumption, and facilitating early emergence in neurosurgical patients.

INDIAN JOURNAL OF ANAESTHESIA (2022)

Article Anesthesiology

Influence of Levobupivacaine Regional Scalp Block on Hemodynamic Stability, Intra- and Postoperative Opioid Consumption in Supratentorial Craniotomies: A Randomized Controlled Trial

Michele Carella et al.

Summary: Scalp block in supratentorial craniotomies improves hemodynamic control during noxious events, reduces anesthetic agents consumption, and provides better postoperative pain control compared to placebo.

ANESTHESIA AND ANALGESIA (2021)

Review Clinical Neurology

Options to manage postcraniotomy acute pain in neurosurgery: no protocol available

Carlos Michell Torres Santos et al.

Summary: This study reviews therapeutic options for postoperative pain after craniotomy, including drugs such as opioids and anti-inflammatory non-steroids, as well as discussing pain mechanisms, pathophysiology, and surgical factors. It provides a comprehensive understanding for physicians to effectively manage this type of pain.

BRITISH JOURNAL OF NEUROSURGERY (2021)

Article Anesthesiology

Preoperative Versus Postoperative Scalp Block Combined With Incision Line Infiltration for Pain Control After Supratentorial Craniotomy

Alexander Kulikov et al.

Summary: This prospective study investigated the optimal timing for selective scalp block in patients undergoing supratentorial craniotomy under general anesthesia. The results showed that there was no significant difference in postoperative pain occurrence and severity whether scalp block was performed preoperatively or postoperatively. Additionally, patients receiving preoperative scalp block required less intraoperative opioids.

CLINICAL JOURNAL OF PAIN (2021)

Article Clinical Neurology

Selective scalp block decreases short term post-operative pain scores and opioid use after craniotomy: A case series

Kunal S. Patel et al.

Summary: The study compared the anesthesia, pain, and opioid outcomes in 20 patients undergoing craniotomy with selective scalp block to 40 historic controls, showing that selective scalp block is effective for short-term pain management after craniotomy, but has limited efficacy in the treatment of postoperative pain beyond this point.

JOURNAL OF CLINICAL NEUROSCIENCE (2021)

Article Medicine, Research & Experimental

Dexmedetomidine vs. lidocaine for postoperative analgesia in pediatric patients undergoing craniotomy: a protocol for a prospective, randomized, double-blinded, placebo-controlled trial

Yuan Zhang et al.

Summary: This study aims to compare the effects of dexmedetomidine and lidocaine on postoperative pain in pediatric patients after craniotomy. The results are expected to provide more options for postoperative analgesia in pediatric population.

TRIALS (2021)

Article Integrative & Complementary Medicine

Acupuncture at the P6 Acupoint to Prevent Postoperative Pain after Craniotomy: A Randomized, Placebo-Controlled Study

Jian-Qin Lv et al.

Summary: Acupuncture at the P6 acupoint significantly reduced pain scores and incidence of vomiting in patients undergoing craniotomy, with no significant side effects observed.

EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE (2021)

Review Medicine, General & Internal

PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews

Matthew J. Page et al.

Summary: The methods and results of systematic reviews should be reported in sufficient detail to allow users to assess trustworthiness. PRISMA 2020 aims to improve the transparency and completeness of systematic review reporting, in hopes of guiding more accurate and transparent reporting.

BMJ-BRITISH MEDICAL JOURNAL (2021)

Review Medicine, General & Internal

The PRISMA 2020 statement: an updated guideline for reporting systematic reviews

Matthew J. Page et al.

Summary: The PRISMA statement was designed to help systematic reviewers transparently report the purpose, methods, and findings of their reviews. The updated PRISMA 2020 statement includes new reporting guidance, a 27-item checklist, an abstract checklist, and revised flow diagrams for reviews.

BMJ-BRITISH MEDICAL JOURNAL (2021)

Article Clinical Neurology

Pre-Emptive Incision-Site Infiltration with Ropivacaine Plus Dexamethasone for Postoperative Pain After Supratentorial Craniotomy: A Prospective Randomized Controlled Trial

Chunmei Zhao et al.

Summary: Dexamethasone as an adjuvant to local infiltration can effectively reduce postoperative pain and decrease opioid consumption in patients undergoing craniotomy.

JOURNAL OF PAIN RESEARCH (2021)

Article Clinical Neurology

Opioid-Free Analgesia for Supratentorial Craniotomies: A Systematic Review

Denise Darmawikarta et al.

CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES (2019)

Article Medicine, General & Internal

RoB 2: a revised tool for assessing risk of bias in randomised trials

Jonathan A. C. Sterne et al.

BMJ-BRITISH MEDICAL JOURNAL (2019)

Article Clinical Neurology

Postoperative Intravenous Acetaminophen for Craniotomy Patients: A Randomized Controlled Trial

Steven Greenberg et al.

WORLD NEUROSURGERY (2018)

Review Clinical Neurology

A Contemporary Perspective on the Management of Post-Craniotomy Headache and Pain

Bryan Lutman et al.

CURRENT PAIN AND HEADACHE REPORTS (2018)

Review Clinical Neurology

Poorly controlled postoperative pain: prevalence, consequences, and prevention

Tong J. Gan

JOURNAL OF PAIN RESEARCH (2017)

Review Medicine, General & Internal

Perioperative Factors Contributing the Post-Craniotomy Pain: A Synthesis of Concepts

Tumul Chowdhury et al.

FRONTIERS IN MEDICINE (2017)

Article Clinical Neurology

Which one is more effective for analgesia in infratentorial craniotomy? The scalp block or local anesthetic infiltration

Eren Fatma Akcil et al.

CLINICAL NEUROLOGY AND NEUROSURGERY (2017)

Article Mathematical & Computational Biology

Methods to estimate the between-study variance and its uncertainty in meta-analysis

Areti Angeliki Veroniki et al.

RESEARCH SYNTHESIS METHODS (2016)

Review Clinical Neurology

Post-Craniotomy Pain Management: Beyond Opioids

Lauren K. Dunn et al.

CURRENT NEUROLOGY AND NEUROSCIENCE REPORTS (2016)

Review Clinical Neurology

Options for perioperative pain management in neurosurgery

Nalini Vadivelu et al.

JOURNAL OF PAIN RESEARCH (2016)

Article Pharmacology & Pharmacy

Effect of Intraoperative Dexmedetomidine on Post-Craniotomy Pain

Ke Peng et al.

CLINICAL THERAPEUTICS (2015)

Article Clinical Neurology

Post-Craniotomy Headache: A Clinical View With a Focus on the Persistent Form

Pedro Augusto Sampaio Rocha-Filho

HEADACHE (2015)

Article Clinical Neurology

Postoperative hemicrania continua-like headache - a case series

Andreas R. Gantenbein et al.

JOURNAL OF HEADACHE AND PAIN (2015)

Review Biotechnology & Applied Microbiology

Pain following Craniotomy: Reassessment of the Available Options

Rudrashish Haldar et al.

BIOMED RESEARCH INTERNATIONAL (2015)

Article Health Care Sciences & Services

Estimating the sample mean and standard deviation from the sample size, median, range and/or interquartile range

Xiang Wan et al.

BMC MEDICAL RESEARCH METHODOLOGY (2014)

Review Anesthesiology

Regional Scalp Block for Postcraniotomy Analgesia: A Systematic Review and Meta-Analysis

Mathew R. Guilfoyle et al.

ANESTHESIA AND ANALGESIA (2013)

Article Clinical Neurology

Immediate post-craniotomy headache

Maria do Carmo de Oliveira Ribeiro et al.

CEPHALALGIA (2013)

Article Medicine, General & Internal

Sample size and power considerations in network meta-analysis

Kristian Thorlund et al.

SYSTEMATIC REVIEWS (2012)

Article Anesthesiology

Effect of intravenous parecoxib on post-craniotomy pain

D. L. Williams et al.

BRITISH JOURNAL OF ANAESTHESIA (2011)

Article Clinical Neurology

Pain Management in Post-Craniotomy Patients: A Survey of Canadian Neurosurgeons

Basil Hassouneh et al.

CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES (2011)

Article Health Care Sciences & Services

GRADE guidelines 6. Rating the quality of evidence-imprecision

Gordon H. Guyatt et al.

JOURNAL OF CLINICAL EPIDEMIOLOGY (2011)

Article Anesthesiology

Acute and chronic pain following craniotomy

Alana M. Flexman et al.

CURRENT OPINION IN ANESTHESIOLOGY (2010)

Article Anesthesiology

Prospective Assessment of Postoperative Pain After Craniotomy

Christine Mordhorst et al.

JOURNAL OF NEUROSURGICAL ANESTHESIOLOGY (2010)

Article Medicine, Research & Experimental

Bupivacaine scalp nerve block: hemodynamic response during craniotomy, intraoperative and post-operative analgesia

Lawan Tuchinda et al.

ASIAN BIOMEDICINE (2010)

Article Anesthesiology

Parecoxib for analgesia after craniotomy

S. J. Jones et al.

BRITISH JOURNAL OF ANAESTHESIA (2009)

Editorial Material Medicine, General & Internal

GRADE:: an emerging consensus on rating quality of evidence and strength of recommendations

Gordon H. Guyatt et al.

BRITISH MEDICAL JOURNAL (2008)

Article Anesthesiology

Pain management after craniotomy

Edward C. Nemergut et al.

BEST PRACTICE & RESEARCH-CLINICAL ANAESTHESIOLOGY (2007)

Article Dentistry, Oral Surgery & Medicine

The long-term effect of craniotomy on temporalis muscle function

Pedro A. S. Rocha-Filho et al.

ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY (2007)

Article Clinical Neurology

Postoperative pain management after craniotomy: Evaluation and cost analysis

Scott Y. Rahimi et al.

NEUROSURGERY (2006)

Article Anesthesiology

Effect of scalp block on postoperative pain relief in craniotomy patients

I Bala et al.

ANAESTHESIA AND INTENSIVE CARE (2006)

Article Education & Educational Research

Bias and efficiency of meta-analytic variance estimators in the random-effects model

W Viechtbauer

JOURNAL OF EDUCATIONAL AND BEHAVIORAL STATISTICS (2005)

Review Anesthesiology

Acute and chronic pain following craniotomy: a review

LC de Gray et al.

ANAESTHESIA (2005)

Article Mathematical & Computational Biology

Improved tests for a random effects meta-regression with a single covariate

G Knapp et al.

STATISTICS IN MEDICINE (2003)

Article Anesthesiology

Scalp nerve blocks decrease the severity of pain after craniotomy

A Nguyen et al.

ANESTHESIA AND ANALGESIA (2001)