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A survey of post-craniotomy analgesia in Korea

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dc.contributor.author최승호-
dc.date.accessioned2014-12-20T17:28:26Z-
dc.date.available2014-12-20T17:28:26Z-
dc.date.issued2011-
dc.identifier.issn1975-5171-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/94668-
dc.description.abstractBACKGROUND: There is increasing evidence that more aggressive pain management is needed in patients undergoing craniotomy in Korea. However, no consensus or standardized analgesic regimen has been established to date. To achieve this consensus, we undertook a survey of the current state of post-craniotomy pain management in Korea. METHODS: A postal questionnaire was sent to anesthesiologists, neurosurgeons and nurses of neurosurgical departments at 44 university hospitals in Korea. Of the 44 centers that were sent questionnaires, 35 centers returned these from their anesthesiology department resulting in a response rate of 73%, and 25 returned the questionnaires from their neurosurgery department (response rate: 57%). RESULTS: Fifty-three percent of neurosurgeons answered that current postoperative pain management was adequate after craniotomy, whereas only 8% of anesthesiologists agreed. However, 72% of neurosurgeons also agreed that a more aggressive pain management was needed for post-craniotomy patients. Fifty-two percent and 23% of neurosurgeons used non-steroidal anti-inflammatory drugs (NSAIDs) and acetaminophen as a first-line analgesic, respectively. Twenty-five percent of neurosurgeons used opioids as a first-line analgesic. Fifty percent of anesthesiologists used strong opioids alone or with NSAIDs as a first-line analgesic. About 10% of both groups used weak opioids as a first-line drug. CONCLUSIONS: Many clinicians agree that post-craniotomy pain is not adequately managed and more aggressive strategies are needed. Nevertheless, opioid analgesics are still avoided because of the concern of side effects despite no evidence to suggest increased risk when use carefully.-
dc.description.statementOfResponsibilityopen-
dc.format.extent362~367-
dc.languageKorean-
dc.publisherKorean Society of Anesthesiologists-
dc.relation.isPartOfAnesthesia and Pain Medicine-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleA survey of post-craniotomy analgesia in Korea-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Anesthesiology (마취통증의학)-
dc.contributor.googleauthorSeongtae Jeong-
dc.contributor.googleauthorJu-Tae Sohn-
dc.contributor.googleauthorSeung Ho Choi-
dc.contributor.googleauthorMyung Ha Yoon-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA04101-
dc.relation.journalcodeJ00145-
dc.identifier.eissn2383-7977-
dc.subject.keywordAnalgesia-
dc.subject.keywordCraniotomy-
dc.subject.keywordPain-
dc.subject.keywordPost-operative-
dc.contributor.alternativeNameChoi, Seung Ho-
dc.contributor.affiliatedAuthorChoi, Seung Ho-
dc.rights.accessRightsfree-
dc.citation.volume6-
dc.citation.number4-
dc.citation.startPage362-
dc.citation.endPage367-
dc.identifier.bibliographicCitationAnesthesia and Pain Medicine, Vol.6(4) : 362-367, 2011-
dc.identifier.rimsid27667-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers

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