Postoperative pain management with tramadol after craniotomy

Evaluation and cost analysis: Clinical article

Scott Y Rahimi, Cargill Herley Alleyne, Eric Vernier, Mark R. Witcher, John R Vender

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Object. Patients undergoing craniotomies have traditionally received opiates with acetaminophen for the management of their postoperative pain. The use of narcotic pain medications can be costly, decrease rates of early post-operative ambulation, lengthen hospital stays, and alter a patient's neurological examination. The use of alternative pain medications such as tramadol may benefit patients by resolving many of these issues. Methods. The authors conducted a randomized, blinded prospective study to evaluate the efficacy of alternative pain management strategies for patients following craniotomies. Fifty patients were randomly assigned either to a control group who received narcotics and acetaminophen alone or an experimental group who received tramadol in addition to narcotic pain medications (25 patients assigned to each group). Results. The control group was noted to have statistically significant higher visual analog scale pain scores, an increased length of hospital stay, and increased narcotic use compared with the tramadol group. The narcotics and acetaminophen group also had increased hospitalization costs when compared with the tramadol group. Conclusions. The use of scheduled atypical analgesics such as tramadol in addition to narcotics with acetaminophen for the management of postoperative pain after craniotomy may provide better pain control, decrease the side effects associated with narcotic pain medications, encourage earlier postoperative ambulation, and reduce total hospitalization costs.

Original languageEnglish (US)
Pages (from-to)268-272
Number of pages5
JournalJournal of neurosurgery
Volume112
Issue number2
DOIs
StatePublished - Feb 1 2010

Fingerprint

Tramadol
Craniotomy
Narcotics
Pain Management
Postoperative Pain
Costs and Cost Analysis
Acetaminophen
Pain
Length of Stay
Opiate Alkaloids
Hospitalization
Early Ambulation
Control Groups
Neurologic Examination
Pain Measurement
Walking
Analgesics
Prospective Studies

Keywords

  • Craniotomy
  • Opioid
  • Pain management
  • Tramadol

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Postoperative pain management with tramadol after craniotomy : Evaluation and cost analysis: Clinical article. / Rahimi, Scott Y; Alleyne, Cargill Herley; Vernier, Eric; Witcher, Mark R.; Vender, John R.

In: Journal of neurosurgery, Vol. 112, No. 2, 01.02.2010, p. 268-272.

Research output: Contribution to journalArticle

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