Detalle Publicación

ARTÍCULO
Revisión narrativa del dolor agudo poscraneotomía. Concepto y estrategias de prevención y tratamiento del dolor
Autores: Iturri, F.; Valencia, L.; Honorato Cia, María Cristina; Martínez Simón, Antonio; Valero, R.; Fábregas, N.; Sección neurociencias SEDAR
Título de la revista: REVISTA ESPAÑOLA DE ANESTESIOLOGÍA Y REANIMACION
ISSN: 0034-9356
Volumen: 67
Número: 2
Páginas: 90 - 98
Fecha de publicación: 2020
Lugar: WOS
Resumen:
The aim of this narrative review is to confirm that acute pain after craniotomy is frequent and presents with moderate to severe intensity. We also highlight the importance of not only treating post-craniotomy pain, but also of preventing it in order to reduce the incidence of chronic pain. Physicians should be aware that conventional postoperative analgesics (non-steroidal anti-inflammatory, paracetamol, cyclooxygenase inhibitors 2, opioids) are not the only options available. Performing a scalp block prior to surgical incision or after surgery, the use of intraoperative dexmedetomidine, and the perioperative administration of pregabalin are just some alternatives that are gaining ground. The management of post-craniotomy pain should be based on perioperative multimodal analgesia in the framework of an "enhaced recovery after surgery" (ERAS) approach.