Neuroanesthesia & neurocritical care

Dexmedetomidine Prevents Chronic Incisional Pain After Brain Tumor Resection: A Secondary Analysis of the Randomized Control Trial

Anesth AnalgPublished Secondary analysis of a randomised controlled trial

Primary resultResult — go to the resultRelative risk 0.55 95% CI 0.38–0.80

Authors' conclusion

Prophylactic intraoperative dexmedetomidine infusion reduces the incidence of chronic incisional pain as well as acute pain score after elective brain tumor resections.

Study context

Population
Patients undergoing elective brain tumor resection (craniotomy)included in final analysis
Participants
252 patients
Comparison
Intraoperative dexmedetomidine vs placebo
  • Dexmedetomidinen = 128
  • Placebon = 124reference
Primary endpoint
Incidence of incisional pain (NRS score >0)
Follow-up
3 months after craniotomy
Methodological detailsdouble-blind, placebo-controlled, January 2021 to December 2021
  • Double-blind
  • Placebo-controlled
  • January 2021 to December 2021

Primary result

As reported in the abstract

Relative risk

0.55

95% CI 0.38–0.80

P = 0.001

Events by treatment group

Dexmedetomidine vs Placebo
RR 0.55 (95% CI 0.38–0.80); P = 0.001

Secondary outcomes

OutcomeP value
SF-MPQ-2 total sensory and neuropathic pain descriptor scores · 3 months after craniotomyDexmedetomidine vs Placebo · lower in the Dexmedetomidine groupP = 0.01
SF-MPQ-2 total sensory and neuropathic pain descriptor scores · 3 months after craniotomyDexmedetomidine vs Placebo · lower in the Dexmedetomidine groupP = 0.023

Acute pain severity on movement · first 3 days after surgery

Lower in the Dexmedetomidine group vs Placebo (all adjusted P < .01)

Sleep quality

Did not differ between groups

Original publication

Dexmedetomidine Prevents Chronic Incisional Pain After Brain Tumor Resection: A Secondary Analysis of the Randomized Control Trial. Anesth Analg. Published 12 June 2023. doi:10.1213/ane.0000000000006563

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