Implementation of an Enhanced Recovery After Spine Surgery program at a large cancer center: a preliminary analysis.
J Neurosurg Spine
; 29(5): 588-598, 2018 Nov 01.
Article
em En
| MEDLINE
| ID: mdl-30117797
ABSTRACT
This study describes the implementation of a multimodal, multidisciplinary, evidence-based ERAS program in oncologic spine surgery, identifies and measures several relevant postoperative recovery outcomes, and demonstrates the feasibility and potential benefit of the program in improving analgesia and decreasing opioid consumption. The study underscores the importance of defining and capturing meaningful, patient-specific, and patient-reported outcomes, and constant evaluation and monitoring of a group's compliance with the program. The study represents the steppingstone for evaluation and improvement of a young ERAS program for spine surgery and serves as a roadmap for further initiatives and larger-scale studies.
Palavras-chave
ASA = American Society of Anesthesiologists; AUC = area under the curve; DVT = deep vein thrombosis; ERAS = Enhanced Recovery After Surgery; ERSS = Enhanced Recovery After Spine Surgery; LITT = laser interstitial thermal therapy; LOS = length of stay; MEDD = morphine equivalent daily dose; MISS = minimally invasive spine surgery; NRS = numeric rating scale; POD = postoperative day; TIVA = total intravenous anesthesia; enhanced recovery; length of stay; opioid consumption; outcomes; postoperative pain; spine surgery
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Doenças da Coluna Vertebral
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Recuperação de Função Fisiológica
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Manejo da Dor
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Analgésicos Opioides
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Tempo de Internação
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Sysrev_observational_studies
Limite:
Female
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Humans
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Male
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article