Multimodal Analgesia and Opioid-Free Anesthesia in Spinal Surgery: A Literature Review.
J Perianesth Nurs
; 38(6): 938-942, 2023 12.
Article
en En
| MEDLINE
| ID: mdl-37452818
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.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Analgesia
/
Anestesia de Conducción
Límite:
Humans
Idioma:
En
Año:
2023
Tipo del documento:
Article