Evidence map›Paper›PMID 26929661›Full record

ReviewJournal of pain research2016

Options for perioperative pain management in neurosurgery.

Nalini Vadivelu, Alice M Kai, Daniel Tran, Gopal Kodumudi, Aron Legler, Eugenia Ayrian

4 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Journal of pain research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
7.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04955236 phase1completednot on this mapstarted 2021, after this paper: background citation

Partial Scalp Block Versus Fentanyl Infusion in Patients Undergoing Posterior Fossa Surgery Under General Anesthesia. A Randomized Control Trial

TypeinterventionalSponsorKasr El Aini HospitalRan2021 to 2021Enrolled40ConditionsPosterior Fossa TumorArmsPartial scalp block, Fentanyl
NCT05763836 phase4unknown statusnot on this mapstarted 2022, after this paper: background citation

Comparison of the Analgesic Effects of Scalp Nerve Block and Intravenous Ibuprofen Applications Under the Guidance of Nociception Level Index (NoL) in Patients Undergoing Elective Supratentorial Craniotomy

TypeinterventionalSponsorAnkara UniversityRan2022 to 2023Enrolled102ConditionsSupratentorial Brain TumorArmsIbuprofen 800 Mg in 8 mL INTRAVENOUS INJECTION [Caldolor], Scalp nerve block
NCT06720285 early_phase1completednot on this mapstarted 2023, after this paper: background citation

The Efficacy of Regional Scalp Block Local Anesthesia as Preemptive Analgesia in Craniotomy Surgery

TypeinterventionalSponsorUniversitas AirlanggaRan2023 to 2023Enrolled40ConditionsScalp Nerve Block, Craniotomy SurgeryArmsnerve block with 0.5% ropivacaine, General anesthesia and opioids (fentanyl, propofol, rocuronium)
NCT07496632 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Efficacy of Scalp Block on Intraoperative Hemodynamic Responses and Postoperative Analgesia in Patients Undergoing Craniotomy

TypeinterventionalSponsorBangladesh Medical UniversityRan2026 to 2026Enrolled72ConditionsScalp BlockArmsSurgical site infiltration with plain bupivacaine, Scalp block with plain bupivacaine
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 91 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Review
  8. Article
  9. Sedation and analgesia strategies in the neuro intensive care unit.World journal of critical care medicine · 2025
    Review
  10. Headache Management in the Neuroscience Intensive Care Unit.Current pain and headache reports · 2024
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Nalini VadiveluDepartment of Anesthesiology, Yale University School of Medicine, New Haven, CT, USA.
Alice M KaiStony Brook University School of Medicine, Stony Brook, NY, USA.
Daniel TranDepartment of Anesthesiology, Yale University School of Medicine, New Haven, CT, USA.
Gopal KodumudiCalifornia Northstate University College of Medicine, Elk Grove, CA, USA.
Aron LeglerDepartment of Anesthesiology, Yale University School of Medicine, New Haven, CT, USA.
Eugenia AyrianKeck School of Medicine of the University of Southern California, Los Angeles, CA, USA.
Yale University · USCalifornia Northstate University · USStony Brook University · USUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Moderate-to-severe pain following neurosurgery is common but often does not get attention and is therefore underdiagnosed and undertreated. Compounding this problem is the traditional belief that neurosurgical pain is inconsequential and even dangerous to treat. Concerns about problematic effects associated with opioid analgesics such as nausea, vomiting, oversedation, and increased intracranial pressure secondary to elevated carbon dioxide tension from respiratory depression have often led to suboptimal postoperative analgesic strategies in caring for neurosurgical patients. Neurosurgical patients may have difficulty or be incapable of communicating their need for analgesics due to neurologic deficits, which poses an additional challenge. Postoperative pain control should be a priority, because pain adversely affects recovery and patient outcomes. Inconsistent practices and the quality of current analgesic strategies for neurosurgical patients still leave room for improvement. Given the complexity of postoperative pain management for these patients, multimodal strategies are often required to optimize pain control and at the same time limit undesired side effects.

Indexed as

acute painpost craniotomy analgesiapost surgical pain

Identifiers

PMID26929661
PMCPMC4755467
OpenAlexW2271464132

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.