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Pain Prevalence After Major Craniotomy

This study has been completed.
Information provided by (Responsible Party):
Sirilak Suksompong, Mahidol University Identifier:
First received: December 29, 2011
Last updated: January 13, 2013
Last verified: January 2013

Craniotomies are generally thought to be less painful than other operations. Indeed recent studies have confirmed that pain is a common problem during the postoperative phase following craniotomy.Pain not only causes discomfort, but it is also associated with other potential adverse events such as increased sympathetic activity and elevated systemic blood pressure. These events in turn may contribute to increased intracranial pressure. Some patients may also develop chronic pain.Potent opioids have been avoided due to its potential to cause respiratory depression and risk of masking pupillary signs. As a result postoperative craniotomy pain controls are usually inadequate.

In Siriraj hospital, there are 500-600 craniotomy patients per year. Still there are no definite guidelines for postoperative pain management in these patents due to lack of information about quality of postoperative pain control after craniotomy.


Primary objective :

- To study incidence of moderate to severe pain during first 48 hours after craniotomy.

Secondary objectives :

  • To determine risk factors for moderate to severe pain during first 48 hours after craniotomy
  • To evaluate side effects and complications of postoperative craniotomy pain control
  • To compare patient's expectation for pain management before and after surgery
  • To determine patient's satisfaction for postoperative pain management

Pain Craniotomy

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Pain Prevalence After Major Craniotomy in Siriraj Hospital

Further study details as provided by Sirilak Suksompong, Mahidol University:

Primary Outcome Measures:
  • incidence of moderate to severe pain following major craniotomy [ Time Frame: 48 hours ]

Secondary Outcome Measures:
  • risk factors of moderate to severe pain following craniotomy. [ Time Frame: 48 hours ]

Enrollment: 302
Study Start Date: October 2010
Study Completion Date: January 2013
Primary Completion Date: January 2013 (Final data collection date for primary outcome measure)

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
patient undergoing cranitomy

Inclusion Criteria:

  • Patient undergoing major craniotomy (supratentorial surgery and Infratentorial surgery)
  • Age > 18 years

Exclusion Criteria:

  • Emergency or trauma
  • Need postoperative ventilatory support
  • Cannot communication
  • Psychosis
  • Not adherence to the treatment protocol
  • History of using benzodiazepine or addictive substance
  Contacts and Locations
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Please refer to this study by its identifier: NCT01502540

Sirilak Suksompong
Bangkok, Thailand, 10700
Sponsors and Collaborators
Mahidol University
Principal Investigator: Sirilak Suksompong, MD Mahidol University
  More Information

Responsible Party: Sirilak Suksompong, Associate Professor, Mahidol University Identifier: NCT01502540     History of Changes
Other Study ID Numbers: Si223/2011
161/2554(EC1) ( Other Identifier: Faculty of Medicine, Siriraj Hospital )
Study First Received: December 29, 2011
Last Updated: January 13, 2013

Keywords provided by Sirilak Suksompong, Mahidol University:
craniotomy processed this record on August 18, 2017