Related Experiment Video
Updated: Mar 16, 2026
07:14
A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
Published on: January 18, 2018
10.0K
Chronic Pain in Neurosurgery
1Department of Anesthesiology and Critical Care, Hospital of the University of Pennsylvania, 3400 Spruce Street 5th Floor Dulles, Philadelphia, PA 19104, USA.
Anesthesiology Clinics
|August 14, 2016
Summary
This review summarizes pain processing theories and advocates for multimodal analgesia in neurosurgery perioperative care. It details various medications and anesthetic techniques to personalize patient pain management strategies.
Area of Science:
- Neurosurgery
- Pain Management
- Anesthesiology
Background:
- Contemporary theories of pain processing are complex.
- Perioperative care in neurosurgery requires effective pain management.
- Multimodal analgesia offers a promising approach.
Purpose of the Study:
- To review current pain processing theories.
- To advocate for a multimodal analgesia strategy in neurosurgery.
- To summarize evidence on various analgesic options.
Main Methods:
- Literature review of contemporary pain theories.
- Summary of medication classes and anesthetic techniques.
- Focus on evidence from neurosurgical literature.
Main Results:
- Opioid management, acetaminophen, NSAIDs, ketamine, lidocaine, dexmedetomidine, corticosteroids, gabapentin, and regional anesthesia are discussed.
- Evidence for these agents in neurosurgical pain is highlighted.
- Current research is insufficient to define best practices for chronic pain prevention or treatment.
Conclusions:
- A multimodal analgesia approach can personalize perioperative care.
- Providers have a wider range of options to consider.
- Further investigation is needed for chronic pain management in neurosurgery.
Related Concept Videos
01:25Analgesia and Pain Management
2.7K
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
2.7K
01:44Nociception
34.0K
Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
34.0K
01:24Chronic Pancreatitis I: Introduction
846
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
846
01:23Peripheral Artery Disease V: Postoperative Nursing Management
515
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
515