Day Case Lumbar Fusion Surgery
This article discusses a literature review conducted to determine if opioid-free anesthesia, opioid-sparing anesthesia, or multimodal analgesia had improved outcomes for patients undergoing spinal fusion surgery. The review included seven studies with a combined sample size of 2,102. The findings showed that all seven studies found a reduction in total opioid administration in the research groups compared to control groups. The studies also reported mixed results regarding postoperative pain scores. Additionally, the use of opioid-free, opioid-sparing, or multimodal analgesia was associated with benefits such as decreased hospital length of stay, decreased post-anesthesia care unit length of stay, decreased post-operative nausea and vomiting, and decreased post-operative opioid use through 30 days. The article concludes that these approaches can lead to better patient outcomes and reduced hospital stays by reducing the adverse effects of opioid analgesics
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most experienced spine clinic in UK
Published article
CONCLUSIONS: For patients undergoing spine surgery, opioid-free, opioid-sparing, and multimodal analgesia will be less likely to experience the adverse effects of opioid analgesics and ultimately lead to better patient outcomes and reduced hospital stays.
Lumbar Fusion Surgery Expert. Best Spinal Surgeon UK
J Perianesth Nurs. 2023 Jul 15:S1089-9472(23)00142-9. doi: 10.1016/j.jopan.2023.04.003. Online ahead of print.ABSTRACTPURPOSES: To determine if opioid-free anesthesia, opioid-sparing anesthesia, or multimodal analgesia improved outcomes in patients undergoing spinal fusion.DESIGN: A literature review was performed by searching PubMed, CINAHL, Embase, Web of Science, and Cochrane Library.METHODS: MeSH terms included “opioid free” AND “spine surgery,” with alternative,
J Perianesth Nurs. 2023 Jul 15:S1089-9472(23)00142-9. doi: 10.1016/j.jopan.2023.04.003. Online ahead of print.
ABSTRACT
PURPOSES: To determine if opioid-free anesthesia, opioid-sparing anesthesia, or multimodal analgesia improved outcomes in patients undergoing spinal fusion.
DESIGN: A literature review was performed by searching PubMed, CINAHL, Embase, Web of Science, and Cochrane Library.
METHODS: MeSH terms included “opioid free” AND “spine surgery,” with alternative terms used including: regional anesthesia, multimodal analgesia, opioid-free anesthesia, enhanced recovery after surgery (ERAS), spinal surgery, spinal fusion, ACDF, cervical fusion, lumbar fusion, etc. Seven studies were deemed appropriate for inclusion with a combined sample size of n = 2,102.
FINDINGS: All of the seven included articles evaluated total opioid administration and found a reduction in total opioid administered in the research groups versus control groups. Six of the seven included articles evaluated postoperative pain scores with mixed results. Various additional benefits of opioid-free, opioid-sparing, or multimodal analgesia included: decreased hospital length of stay (LOS), decreased post-anesthesia care unit (PACU) LOS, decreased post-operative nausea and vomiting (PONV), and decreased post-operative opioid use through 30 days.
CONCLUSIONS: For patients undergoing spine surgery, opioid-free, opioid-sparing, and multimodal analgesia will be less likely to experience the adverse effects of opioid analgesics and ultimately lead to better patient outcomes and reduced hospital stays.
PMID:37452818 | DOI:10.1016/j.jopan.2023.04.003
The London Spine Unit : most experienced spine clinic in UK
Read the original publication:
Multimodal Analgesia and Opioid-Free Anesthesia in Spinal Surgery: A Literature Review