The Role of Multimodal Analgesia in Spine Surgery.
Publication/Presentation Date
4-1-2017
Abstract
Optimal postoperative pain control allows for faster recovery, reduced complications, and improved patient satisfaction. Historically, pain management after spine surgery relied heavily on opioid medications. Multimodal regimens were developed to reduce opioid consumption and associated adverse effects. Multimodal approaches used in orthopaedic surgery of the lower extremity, especially joint arthroplasty, have been well described and studies have shown reduced opioid consumption, improved pain and function, and decreased length of stay. A growing body of evidence supports multimodal analgesia in spine surgery. Methods include the use of preemptive analgesia, NSAIDs, the neuromodulatory agents gabapentin and pregabalin, acetaminophen, and extended-action local anesthesia. The development of a standard approach to multimodal analgesia in spine surgery requires extensive assessment of the literature. Because a substantial number of spine surgeries are performed annually, a standardized approach to multimodal analgesia may provide considerable benefits, particularly in the context of the increased emphasis on accountability within the healthcare system.
Volume
25
Issue
4
First Page
260
Last Page
268
ISSN
1940-5480
Published In/Presented At
Kurd, M. F., Kreitz, T., Schroeder, G., & Vaccaro, A. R. (2017). The Role of Multimodal Analgesia in Spine Surgery. The Journal of the American Academy of Orthopaedic Surgeons, 25(4), 260–268. https://doi.org/10.5435/JAAOS-D-16-00049
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
28291143
Department(s)
Administration and Leadership
Document Type
Article