Nonopioid Postoperative Pain Management in Neurosurgery

Shlobin, Nathan A.; Rosenow, Joshua M.

doi:10.1016/j.nec.2022.02.004

Cited by 5 publications

(2 citation statements)

References 117 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The current opioid-based neuroanaesthesia regimens will give way to non-opioid-based perioperative management in neurosurgical patients in the future. [ 10 ]…”

Section: A) Newer Advancements In Neuroanaesthesiamentioning

confidence: 99%

Recent advancements in the practice of neuroanaesthesia and neurocritical care: An update

Sethuraman

Bidkar

Mariappan

et al. 2023

Indian Journal of Anaesthesia

View full text Add to dashboard Cite

The practice of neuroanaesthesia has expanded significantly in recent years to keep up with various challenges posed in the perioperative care of patients for neurosurgical, interventional, neuroradiological, and diagnostic procedures. Technological advancements in neuroscience include the intraoperative use of computed tomography scans and angiograms for vascular neurosurgery, magnetic resonance imaging, neuronavigation, expansion of minimally invasive neurosurgery, neuroendoscopy, stereotaxy, radiosurgery, the performance of increasingly complex procedures, advancements in neurocritical care, etc. Recent advancements in neuroanaesthesia that can meet these challenges include the resurgence of ketamine, opioid-free anaesthesia, total intravenous anaesthesia, techniques to facilitate intraoperative neuromonitoring, awake neurosurgical and spine surgeries, etc. The current review provides an update on the recent advancements in neuroanaesthesia and neurocritical care.

show abstract

“…The current opioid-based neuroanaesthesia regimens will give way to non-opioid-based perioperative management in neurosurgical patients in the future. [ 10 ]…”

Section: A) Newer Advancements In Neuroanaesthesiamentioning

confidence: 99%

Recent advancements in the practice of neuroanaesthesia and neurocritical care: An update

Sethuraman

Bidkar

Mariappan

et al. 2023

Indian Journal of Anaesthesia

View full text Add to dashboard Cite

show abstract

“…Post-op care for patients after awake procedures is fairly standard. In fact, patients who underwent awake craniotomy for resections had better outcomes than those who underwent general anesthesia for the duration of their resection [20]. Nursing should perform neurological exams on the patient every 1 to 2 hours while the patient is inpatient post-operatively.…”

Section: Post-operative Carementioning

confidence: 99%

Updates in Neuroanesthesia

Schill¹,

Bates²,

Lovett³

et al. 2023

Updates in Anesthesia - The Operating Room and Beyond

View full text Add to dashboard Cite

Providing anesthesia care to neurosurgical and neurocritical care patients presents unique challenges to the anesthesiologist. Over the last century, anesthetic care for such patients has become a robustly studied field, with tools and techniques to keep patients safe and comfortable in the perioperative period. A review of the major updates and considerations for perioperative care for awake craniotomies, thrombectomy for stroke, and endoscopic neurosurgery is critical for the anesthesiologist. Additionally, newly developed enhanced recovery after surgery procedures have improved patient experiences and outcomes after both cranial and spinal neurosurgery. Finally, post-operative delirium is a major neurologic complication in elderly patients undergoing all types of procedures which all anesthesiologists should be well versed in. Here, such topics are reviewed with a focus on recent updates to the literature which are important for clinical practice.

show abstract