Implementation of a Standardized Multimodal Postoperative Analgesia Protocol Improves Pain Control, Reduces Opioid Consumption, and Shortens Length of Hospital Stay After Posterior Lumbar Spinal Fusion
| Autor: | Virginia Prendergast, Corey T. Walker, Juan S. Uribe, Jakub Godzik, Udaya K. Kakarla, David M Gullotti, Arpan A. Patel, Andrew S. Little, Alexander C Whiting, John J. Radosevich, Tyler S Cole, Doneen Grimm, Jay D. Turner |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_treatment 03 medical and health sciences 0302 clinical medicine Lumbar Rating scale medicine Humans Pain Management 030212 general & internal medicine Anesthetics Local Adverse effect Aged Pain Measurement Retrospective Studies Pain Postoperative Lumbar Vertebrae business.industry Anti-Inflammatory Agents Non-Steroidal Retrospective cohort study Length of Stay Middle Aged Combined Modality Therapy Analgesics Opioid Spinal Fusion Opioid Cryotherapy Spinal fusion Anesthesia Concomitant Morphine Surgery Drug Therapy Combination Female Neurology (clinical) Analgesia business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Neurosurgery. 87(1) |
| ISSN: | 1524-4040 |
| Popis: | BACKGROUND Multimodal analgesia regimens have been suggested to improve pain control and reduce opioid consumption after surgery. OBJECTIVE To institutionally implement an evidence-based quality improvement initiative to standardize and optimize pain treatment following neurosurgical procedures. Our goal was to objectively evaluate efficacy of this multimodal protocol. METHODS A retrospective cohort analysis of pain-related outcomes after posterior lumbar fusion procedures was performed. We compared patients treated in the 6 mo preceding (PRE) and 6 mo following (POST) protocol execution. RESULTS A total of 102 PRE and 118 POST patients were included. The cohorts were well-matched regarding sex, age, surgical duration, number of segments fused, preoperative opioid consumption, and baseline physical status (all P > .05). Average patient-reported numerical rating scale pain scores significantly improved in the first 24 hr postoperatively (5.6 vs 4.5, P |
| Databáze: | OpenAIRE |
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