Fentanyl

see Fentanyl Patch.

Fentanyl (0.8 mg/kg) is intravenously administered immediately before surgery, followed by additional doses as needed.

Using fentanyl after surgical clipping for ruptured intracranial aneurysms might decrease headache and produce few adverse effects. Adequate headache control showed improved dietary intake after subarachnoid hemorrhage 1).

1)
Terakado T, Nakai Y, Ikeda G, Uemura K, Matsumaru Y, Ishikawa E, Matsumura A. Effectiveness of low-dose intravenous fentanyl for postoperative headache management after neck clipping of ruptured intracranial aneurysms: Fentanyl for post-subarachnoid hemorrhage headache. World Neurosurg. 2019 Oct 18. pii: S1878-8750(19)32680-4. doi: 10.1016/j.wneu.2019.10.062. [Epub ahead of print] PubMed PMID: 31634620.