Craniotomy type and postoperative nausea and vomiting: a matched case-control study

Demneri, M.; Hoxha, Ariela; Pilika, K.; Saraçi, M.; Qirinxhi, M.

doi:10.1097/00003643-201206001-00037

Cited by 1 publication

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“…The time from switching off of nitrous oxide until tracheal extubation was noted as the ‘extubation time’. At the time of extubation, vital parameters, modified Aldrete score (MAS),[ 7 ] Richmond agitation–sedation scale (RASS),[ 8 ] VAS and post-operative nausea vomiting (PONV)[ 9 ] were assessed and noted.…”

Section: Methodsmentioning

confidence: 99%

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

Gehlaut¹,

Bala²,

Mittal³

et al. 2022

Indian Journal of Anaesthesia

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Background and Aims: Post-craniotomy pain has often been overlooked and undertreated. Various classes of analgesic drugs have been used, not without limitations. Therefore, we planned to study the novel technique of wound instillation of ropivacaine through the surgical drain in patients undergoing supratentorial craniotomy to study its effect on post-craniotomy pain, analgesic requirement in the post-operative period along with the recovery profile of the patient and the side effects. Methods: This prospective, randomised, placebo-controlled, double-blinded study enroled 50 patients of either gender, scheduled to undergo elective craniotomy, under general anaesthesia. They were randomly divided into two groups and received either 12 ml of 0.25% ropivacaine (group R) or 12 ml of normal saline (group NS), through the subgaleal drain, after the closure of the dura. Pain scores were assessed at 1, 2, 4, 8 and 24 hours post-operatively. Student’s t-test was used for comparison of continuous variables and the Chi-square test or Fisher’s exact test was used for comparing the nominal categorical data. Results: The visual analogue scale score was higher in group NS than in group R, and the difference was statistically significant ( P = 0.012, 0.016, and 0.005 at 0, 1, and 2 post-operative hours, respectively). The difference in the mean emergence time in the two groups was 1.12 minutes ( P = 0.024). Conclusion: Single-time wound instillation of ropivacaine (12 ml of 0.25%) through surgical (subgaleal) drain during wound closure is an effective and simple technique for reducing post-operative pain and analgesic consumption and early emergence in neurosurgical patients undergoing supratentorial craniotomy.

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Section: Methodsmentioning

confidence: 99%