Post Operative Pain And Vomiting. After resection of the adenoma, the sella floor was reconstructed using septal bone, as previously described (12). After project approval from the university of virginia human investigations committee, we established a patient database.
Managing Postoperative Pain in the Orthopaedic Patient ... from 3pw8zx30ta4c3jegjv14ssuv-wpengine.netdna-ssl.com Using regional rather than general anaesthesia; Indeed, the incidence of ponv is more frequent after infratentorial procedures than supratentorial procedures (7). Nevertheless, some studies have failed to find differences in ponv when comparing patients who had supratentorial or infratentorial craniotomies (16).
A transseptal sublabial approach was seldom used, because it is generally reserved for children or patients with very large tumors (12,13).
Postoperative pain after craniotomies has long been thought to be less severe than other postsurgical pain. Hence, regular monitoring of respiration and oxygen saturation is essential in patients on opioids postoperatively. The apfel score has been widely adopted as it is relatively simple to use in everyday clinical practice. Among neurosurgical patients, ponv is more frequently observed in younger patients, although independent of surgical duration, fentanyl dose, and type of anesthesia (7).
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