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Optimizing Patient Outcomes in Spinal Surgery: An Investigation Into Anesthesiologists’ Case Volume – Lumbar Spinal Stenosis

This article discusses a study that aimed to examine the associations between the volume of spine surgical cases performed by anesthesiologists and patient postoperative outcomes. The study included patients who underwent anterior cervical discectomy and fusion (ACDF), lumbar decompression (LD), and lumbar fusion (LF). The researchers categorized anesthesiologists into low, medium, and high volumes of spine surgical cases and analyzed various factors such as patient demographics, intraoperative measures, post-anesthesia care unit (PACU) measures, and postoperative measures. The results showed minimal impact of anesthesiologist volume on postoperative outcomes, highlighting the importance of teamwork and specialized surgical teams in enhancing efficiency and patient care. Further studies are recommended to explore other variables in anesthesia, nursing, and surgical team workflow that may affect postoperative outcomes in spinal surgeries

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
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Published article

Introduction Nearly one million patients in the United States undergo spine surgical procedures annually to seek relief from chronic back and neck pain. A multidisciplinary approach is key to ensuring the efficiency and safety of the surgical process, with the anesthesia team, nursing, surgeon, and healthcare facilities all playing a role. The purpose of this study is to capture potential associations between the anesthesiologists’ case volume and patient postoperative outcomes in the early…

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Cureus. 2023 Nov 28;15(11):e49559. doi: 10.7759/cureus.49559. eCollection 2023 Nov.ABSTRACTIntroduction Nearly one million patients in the United States undergo spine surgical procedures annually to seek relief from chronic back and neck pain. A multidisciplinary approach is key to ensuring the efficiency and safety of the surgical process, with the anesthesia team, nursing, surgeon, and healthcare facilities,

Cureus. 2023 Nov 28;15(11):e49559. doi: 10.7759/cureus.49559. eCollection 2023 Nov.

ABSTRACT

Introduction Nearly one million patients in the United States undergo spine surgical procedures annually to seek relief from chronic back and neck pain. A multidisciplinary approach is key to ensuring the efficiency and safety of the surgical process, with the anesthesia team, nursing, surgeon, and healthcare facilities all playing a role. The purpose of this study is to capture potential associations between the anesthesiologists’ case volume and patient postoperative outcomes in the early recovery period. Methods A retrospective review of anterior cervical discectomy and fusion (ACDF), lumbar decompression (LD), and lumbar fusion (LF) patients from July 2019 to June 2023 was performed. Anesthesiologists were categorized into low, medium, and high volumes of spine surgical cases. Univariate analysis was performed on patient demographics, intraoperative measures, post-anesthesia care unit (PACU) measures, and postoperative measures by anesthesiologist volume. Results This study included 545 ACDF, 815 LD, and 1,144 LF patients. There were no differences between groups in ACDF patients by anesthesiologist volume. When examining patients undergoing LD, there was a difference in patients with an American Society of Anesthesiologists (ASA) physical status classification of three or greater (low volume: 41.7% vs. medium volume: 53.7% vs. high volume: 45.0%; p=0.029). When examining patients undergoing LF, there were differences in patients with low temperatures in PACU (low volume: 2.8% vs. medium volume: 7.3% vs. high volume: 4.2%; p=0.044) and the percentage of patients with a 90-day emergency department return (low volume: 7.7% vs. medium volume: 11.9% vs. high volume: 7.0%; p=0.024). Conclusion While this study found a minimal impact of anesthesiologist volume on postoperative outcomes, recent literature has emphasized the critical role of teamwork and specialized surgical teams to enhance efficiency and patient care. Further studies are warranted to identify other variables in anesthesia, nursing, and surgical team workflow that may impact postoperative outcomes in spinal surgeries.

PMID:38156156 | PMC:PMC10753864 | DOI:10.7759/cureus.49559

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Optimizing Patient Outcomes in Spinal Surgery: An Investigation Into Anesthesiologists’ Case Volume

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Cureus. 2023 Nov 28;15(11):e49559. doi: 10.7759/cureus.49559. eCollection 2023 Nov.ABSTRACTIntroduction Nearly one million patients in the United States undergo spine surgical procedures annually to seek relief from chronic back and neck pain. A multidisciplinary approach is key to ensuring the efficiency and safety of the surgical process, with the anesthesia team, nursing, surgeon, and healthcare facilities

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