The proposed study intends to evaluate incidence of postoperative pain after neurosurgery. This study is likely to help in understanding of the magnitude of this problem in our country and inform about possible predictors which will help institute pre-emptive interventions to mitigate modifiable risk factors of pain after neurosurgery.
Data regarding potential risk factors for postoperative pain will be collected. Preoperative factors (preoperative pain, anxiety or depression, perception about surgery, age, gender, socio-economic status, educational level, domicile location, obesity, surgical site \[infratentorial or supratentorial or cervical, thoracic or lumbar\], use of steroids and analgesics), and intraoperative factors (scalp/ESP/caudal block, incision site infiltration, dose of analgesics such as opioids, paracetamol and non-steroidal anti-inflammatory drugs (NSAIDs), co-analgesics such as nitrous oxide, gabapentionoids, dexmedetomidine, magnesium or lignocaine infusion, anti-epileptics, steroids, minimum alveolar concentration (MAC) of inhalational anesthetics, and duration of surgery and anesthesia) that are likely to be associated with occurrence of postoperative pain will be explored along with relationship between acute and persistent postoperative pain and between intraoperative nociception and postoperative pain.
Study Type
OBSERVATIONAL
Enrollment
1,000
Neurosurgery
National Institute of Mental Health and Neurosciences
Bengaluru, Karnataka, India
Postoperative pain using Numerical Rating Scale
Acute postoperative pain
Time frame: on days 1-3 after surgery
duration of postoperative hospital stay in days
duration of postoperative hospital stay in days
Time frame: through hospital stay, an average of 10 days
postoperative sleep quality using Likert 1-5 scale
sleep quality assessment
Time frame: Day 2 after surgery
patient satisfaction using Likert scale 1-5
patient satisfaction assessment using Likert scale 1-5
Time frame: Day 2 after surgery
Persistent postoperative pain using Numerical Rating Scale (NRS)
Chronic Postoperative Pain measured using NRS (from 0 to 10, with 0 = no pain and 10 = maximal pain
Time frame: 3 and 6 months after surgery
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