Management of Postoperative Pain after Elective Craniotomy: A Prospective Randomized Controlled Trial of a Neurosurgical Enhanced Recovery after Surgery (ERAS) Program

Qu, Liang; Liu, Bolin; Zhang, Haitao; Sankey, Eric W.; Chai, Wei; Wang, Binrong; Li, Zhengmin; Niu, Jiangtao; Zhao, Binfang; Xue, Jiang; Ye, Lin; Zhao, Lanfu; Zhang, Yufu; Zheng, Tao; Xue, Yao-ming; Chen, Lei; Chen, Long; Han, Haijing; Liu, Wenjuan; Li, Ruigang; Gao, Guodong; Wang, Xuelian; Wang, Yuan; He, Shiming

doi:10.7150/ijms.46403

Cited by 26 publications

(36 citation statements)

References 64 publications

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“…However, the experimental group had lower wound pain scores in POD3 than the control group (Table 2). The results were similar to those of the study of Qu et al (2020) who found that pain management after cranial surgery in the patients receiving ERAS programs generated significantly lower wound pain scores in POD3 than the other group (p < 0.001). 26 Moreover, massaging was an alternative medicine that had a mechanism to send nerve currents along a beta or alpha nerve fiber to signal and stimulate S.G. cells to inhibit the function of transmission cells.…”

Section: Discussionsupporting

confidence: 88%

“…Furthermore, patients who received the ERAS program had early recovery with reduced LOS in hospital. 12,17,20,26 However, rehabilitation and ERAS programs in the past did not study massage for relief of muscle pain, massaging to ease muscle pain was done with patients who had a thyroidectomy 27 , and nurses did not begin exercise from the first 24 hours after surgery when patients were in the ICU. Therefore, to prepare muscles for ambulation with exercise and to prepare patients for transfer from the ICU to the ward on the second day after surgery, patients received massage to relax the neck and shoulder muscles.…”

Section: Introductionmentioning

confidence: 99%

“…The first phase of the exercise started 24 hours after the surgery. Once the patients' conditions were stable 16,26 , they were massaged to relieve muscle stress in the neck and shoulder areas before starting active ROM exercise, strengthen the thigh muscles and quadriceps extension until they could get up from the bed and walk. The goal was to promote physical mobility to recover quickly.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Physical Exercise Program on Physical Mobility of Patients with Cranial Surgery

et al. 2021

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Objective: This research aimed to study the effects of a physical exercise program on physical mobility in cranial surgery patients.Materials and Methods: The researcher used a quasi-experimental method of surveying 58 patients who had cranial surgery at Siriraj Hospital. The research group was divided into two groups: an experimental group (28 patients) participating in a physical exercise program of patients after cranial surgery, and a control group (30 patients) receiving routine nursing care only. The evaluation of the patients’ physical mobility was performed three days after the surgery.Results: Most patients in the research group had an intracranial tumor (86.2%). One day after the surgery, the experimental group had minor pain at the wound site while the control group had moderate pain. Both groups felt discomfort (64.2%) or had muscle stiffness in the neck and shoulder areas (63.3%). Three days after the surgery, at the end of the program, the body movement function of both groups was reduced compared with the preoperative data. However, the experimental group showed better body movement function scores than the control one as the scores of the former were reduced less than those of the latter at p < 0.05.Conclusion: Nurses who provide health care services to patients after cranial surgery should apply the physical exercise program to promote the recovery of the patients’ physical mobility.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effects of Physical Exercise Program on Physical Mobility of Patients with Cranial Surgery

et al. 2021

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“…Scalp nerve block and incision infiltration anesthesia can effectively reduce postoperative pain and the use of analgesic drugs (8,15), which are implemented by anesthesiologists and surgeons, respectively. Qu et al showed that scalp infiltration anesthesia with ropivacaine in the ERAS group could effectively reduce the degree and time of postoperative pain (16). In our study, all patients in the ERAS group were treated with scalp nerve block and infiltration anesthesia before scalp incision.…”

Section: Literature Reviewmentioning

confidence: 68%

Retrospective Study on the Application of Enhanced Recovery After Surgery Measures to Promote Postoperative Rehabilitation in 50 Patients With Brain Tumor Undergoing Craniotomy

Feng

Xie

et al. 2021

Front. Oncol.

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ObjectiveTo investigate whether enhanced recovery after surgery (ERAS) can promote rehabilitation of patients after neurosurgical craniotomy.MethodsThe clinical data of 100 patients with brain tumor undergoing craniotomy in the Department of Neurosurgery, Xiangya Hospital, Central South University, from January 2018 to August 2020 were collected, including 50 patients in the ERAS group and 50 patients in the control group. t-Test, Wilcoxon’s rank sum test, and chi-square analysis were used to compare the clinical characteristics, prognosis, and hospitalization time between the two groups.ResultsThere was no significant difference in gender, age, and other general clinical data between the two groups (p > 0.05). The days of antiemetic drugs applied in the ERAS group were less than those in the control group (1.00 vs. 2.00 days, p = 0.003), and the proportion of patients requiring analgesics was lower than that of the control group (30% vs. 52%, OR = 0.41, 95% CI 0.18–0.93, p = 0.031). The time of urinary catheter removal and that of patients starting ambulation in the ERAS group were shorter than those in the control group (16.00 vs. 24.00 h, and 1.00 vs. 2.00 days, p < 0.001, respectively); and the hospital length of stay (LOS) in the ERAS group was shorter than that in the control group (Total LOS, 13.00 vs. 15.50 days; Postoperative LOS, 7.00 vs. 10.00 days, p < 0.001). By analyzing the prognosis of patients in the ERAS group and control group, we found that there was no significant difference in postoperative complications and Karnofsky Performance Status (KPS) score 1 month after operation between the two groups.ConclusionThe application of ERAS in craniotomy can accelerate the postoperative recovery of patients without increasing the perioperative risk, which is worthy of wide application. However, whether the ERAS measures can reduce the postoperative complications and improve the prognosis of patients still needs more large-scale case validation and multicenter collaborative study.

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“…This may have been related to the increasing recognition of deep vein thrombosis (DVT) by nurses in recent years and gradual realization of the importance of anti-thrombus management (3). The continuous increase of pain management is related to the deepening of the Enhanced Recovery After Surgery (ERAS) concept in recent years, and pain management is an important component of the ERAS concept (9). Standardized training of orthopedic nursing skills and continuous improvement of orthopedic nursing quality were conducted, accounting for 71.6% and 64.7%, respectively.…”

Section: Current Status Of Specialized Nursing Work Of Orthopedic Nurse Specialists In Jiangsumentioning

confidence: 99%

The effect of training orthopedic nurse specialists in Jiangsu Province of China

Ya-hui¹,

Zhu²,

Jie³

et al. 2021

Ann Palliat Med

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Background:The training of orthopedic nurse specialists is gradually increasing in China, but the effect of the training, namely the specialized nursing work carried out by them upon returning to work after training, is unknown. This study aimed to further our understanding of the effect of training orthopedic nurse specialists and provide a basis for improving the training program.Methods: A total of 201 clinical nurse specialists who graduated from the training base of orthopedic nurse specialists in the Jiangsu Province were interviewed via a self-made questionnaire.Results: All orthopedic nurse specialists completed a series of specialized nursing work after returning to their posts. In particular, the clinical nurse specialists with senior professional titles participated in more specialized nursing work projects, such as continuous improvement of orthopedic nursing quality, and so on.The influence of having attained different educational levels on the specialized nursing work of orthopedic nurse specialists was not significant. Conclusions:The orthopedic nurse specialists carried out a series of specialized nursing work after returning to their posts, which not only helps to improve the quality of orthopedic nursing, but also assists in promoting the popularization and homogenization of new knowledge and skills in orthopedic nursing in the Jiangsu Province.

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Management of Postoperative Pain after Elective Craniotomy: A Prospective Randomized Controlled Trial of a Neurosurgical Enhanced Recovery after Surgery (ERAS) Program

Cited by 26 publications

References 64 publications

Effects of Physical Exercise Program on Physical Mobility of Patients with Cranial Surgery

Effects of Physical Exercise Program on Physical Mobility of Patients with Cranial Surgery

Retrospective Study on the Application of Enhanced Recovery After Surgery Measures to Promote Postoperative Rehabilitation in 50 Patients With Brain Tumor Undergoing Craniotomy

The effect of training orthopedic nurse specialists in Jiangsu Province of China

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