Enhanced Recovery in Spine Surgery and Perioperative Pain Management

Vikram Chakravarthy; Hana Yokoi; Mariel R Manlapaz; Ajit A Krishnaney

doi:10.1016/j.nec.2019.08.010

Enhanced Recovery in Spine Surgery and Perioperative Pain Management

Neurosurg Clin N Am. 2020 Jan;31(1):81-91. doi: 10.1016/j.nec.2019.08.010.

Authors

Vikram Chakravarthy¹, Hana Yokoi², Mariel R Manlapaz³, Ajit A Krishnaney⁴

Affiliations

¹ Department of Neurosurgery, Cleveland Clinic, S40, Cleveland, OH 44195, USA.
² Case Western Reserve University School of Medicine, S40, Cleveland, OH, USA.
³ Department of General Anesthesiology, Cleveland Clinic, E31, Cleveland, OH 44195, USA.
⁴ Department of Neurosurgery, Cleveland Clinic, S40, Cleveland, OH 44195, USA. Electronic address: KRISHNA@CCF.ORG.

PMID: 31739933
DOI: 10.1016/j.nec.2019.08.010

Abstract

Enhanced recovery after surgery is an interdisciplinary, multimodal approach to improve postoperative outcomes by applying multiple evidenced-based interventions. It has been adapted at multiple institutions for patients undergoing spine surgery to combat the rising rate of opioid consumption. Various preoperative, intraoperative, and postoperative pharmacologic and nonpharmacologic interventions have been introduced to augment patient care with the goal to decrease hospital length of stay and improve postoperative outcomes. Future studies will focus on health care-related quality of life outcomes to evaluate the effectiveness of enhanced recovery after surgery across various benchmarks.

Keywords: Acetaminophen; Analgesia; Enhanced recovery after surgery; Gabapentin; Opioid; Pain management; Postoperative outcomes; Spine surgery.

Publication types

Review

MeSH terms

Enhanced Recovery After Surgery*
Humans
Intraoperative Care
Pain Management / methods*
Pain, Postoperative / drug therapy
Perioperative Care / methods*
Spine / surgery*