The most common of these complications are postoperative headache
, urinary retention, and back pain, which are the most challenging outcomes faced in surgical practice.
The incidences of postoperative adverse events like respiratory depression (respiratory rate of less than 10 breaths per minute), hypoxia (SpO2 < 92%), hypotension (systolic BP < 90 mmHg), nausea and vomiting, mild pruritus, severe pruritus (requiring treatment), postoperative headache
and any other serious adverse events within the first 48 hours after completion of the surgery.
One patient from group F and two patients from group B-N reported postoperative headache
of South Florida) and contributors have added sections on postoperative headache
, ankylosing spondylitus, spontaneous intracranial hypotension, sacral fractures, and Modic classification of vertebral body degenerative changes amongst other topics while also updating such topics as post-herpetic neuralgia, vein of Galen malformations, and cavernous malformations.
If not contraindicated, nonsteroidal anti-inflammatory medications can be extremely effective for postoperative headache
and neck stiffness.
The earlier Mayo Clinic Scottsdale study showed that regular coffee drinkers who consumed caffeine before surgery were less likely to have a postoperative headache
than those who did not.
Non Smokers: Three non-smokers developed postoperative complications, one respiratory complication, one fever and one postoperative headache
The parecoxib group was less likely to experience postoperative headache
than the control group (12 vs 38%, P=0.007) (Table 3), but the incidence of nausea/vomiting or gastrointestinal irritation did not differ at any assessment.
Forty patients (90.9%) in the packing group experienced postoperative headache
, compared with only 9 (20.5%) in the no-packing group (p < 0.05).
Wong did not comment on any radiant warmer effect upon postoperative headache
, the latter being a statistically significant complication of warming in our study.
Two patients experienced prolonged postoperative headache
that required referral to our pain management service and long-term narcotic therapy.