Nervous System Diseases

All Conditions

Diseases and Abnormalities at or Before Birth

Symptoms and General Pathology

Heart and Blood Diseases

Rare Diseases

Epilepsy

Congenital Abnormalities

Pain

Acute Pain

Vascular Malformations

Cardiovascular Abnormalities

Acute Graft Versus Host Disease

Central Nervous System Depressants

All Drugs and Chemicals

Anesthetics

Pediatric patients (0-18 yo) who are scheduled for craniotomy surgery under general anesthesia. This will include patients undergoing brain surgery for cancer, epilepsy, vascular malformations, and craniofacial reconstructive surgery. Patients will receive routine postoperative management and treated for pain based on institutional routine. We will follow patients for the first 5 post-operative days or until discharge, whichever comes first.

The purpose of this prospective, clinical observational trial is to assess the incidence of pain (and analgesia), methods of pain assessment (and by whom), prescribed analgesics, methods of analgesic delivery, and patient/parent satisfaction in patients undergoing craniotomy surgery at three major children's hospitals (Boston Children's Hospital, Children's Hospital of Philadelphia, The Children's Center Johns Hopkins Hospital) in the United States.

The Management of Postoperative Craniotomy Pain in Pediatric Patients

The Management of Postoperative Craniotomy Pain in Pediatric Patients: A Prospective Cohort Study

To determine the severity of pain and the compliance of physicians and nurses in implementation of institutionally mandated pain assessment tools by chart review. We will also assess which pain assessment tools are in use by health care providers in the 3 participating institutions along with compliance with frequency of pain assessment based on institutional policy.

To independently determine patient/parent satisfaction and quality of recovery (QOR). Daily, an investigator will use a validated, standardized parental satisfaction tool (a subset of the NRC Picker satisfaction tool) and in adolescents a modified QoR-40.

Johns Hopkins University

Study title	NCT ID	Conditions	Eligibility	Organization
The Management of Postoperative Craniotomy Pain in Pediatric Patients	NCT01576601	Post Craniotomy... Cancer Epilepsy Vascular Malfor... Craniofacial Re...	- 18 Years	Johns Hopkins University
The Management of Postoperative Craniotomy Pain in Pediatric Patients	NCT01576601	Post Craniotomy... Cancer Epilepsy Vascular Malfor... Craniofacial Re...	- 18 Years	Johns Hopkins University
The Management of Postoperative Craniotomy Pain in Pediatric Patients	NCT01576601	Post Craniotomy... Cancer Epilepsy Vascular Malfor... Craniofacial Re...	- 18 Years	Johns Hopkins University

Spots Global Cancer Trial Database for postoperative management