Pain management following spinal surgeries: An appraisal of the available options.
TLDR
The current manuscript discussed the pathophysiology of postsurgical pain including its nature, the various tools for assessment, and the various pharmacological agents available at the authors' disposal to respond to post spinal surgery pain.Abstract:
Spinal procedures are generally associated with intense pain in the postoperative period, especially for the initial few days. Adequate pain management in this period has been seen to correlate well with improved functional outcome, early ambulation, early discharge, and preventing the development of chronic pain. A diverse array of pharmacological options exists for the effective amelioration of post spinal surgery pain. Each of these drugs possesses inherent advantages and disadvantages which restricts their universal applicability. Therefore, combination therapy or multimodal analgesia for proper control of pain appears as the best approach in this regard. The current manuscript discussed the pathophysiology of postsurgical pain including its nature, the various tools for assessment, and the various pharmacological agents (both conventional and upcoming) available at our disposal to respond to post spinal surgery pain.read more
Citations
More filters
Journal ArticleDOI
Predictors of Long-term Opioid Use Following Lumbar Fusion Surgery.
Joseph Connolly,Zulqarnain Javed,Mukaila A. Raji,Winston Chan,Yong Fang Kuo,Jacques Baillargeon +5 more
TL;DR: The findings may provide clinically relevant information to physicians, patients, and their families regarding the risk factors for opioid dependence following lumbar fusion surgery.
Journal ArticleDOI
Postoperative Analgesic Efficacy of the Ultrasound-Guided Erector Spinae Plane Block in Patients Undergoing Lumbar Spinal Decompression Surgery: A Randomized Controlled Study.
Ahmet Murat Yayik,Sevim Cesur,Figen Öztürk,Ali Ahiskalioglu,Ayse Nur Ay,Erkan Çelik,Nuh Cagri Karaavci +6 more
TL;DR: ESP block can be used in multimodal analgesia practice to reduce opioid consumption and relieve acute postoperative pain in patients undergoing open lumbar decompression surgery.
Journal ArticleDOI
Postoperative pain management in patients undergoing posterior spinal fusion for adolescent idiopathic scoliosis: a narrative review
TL;DR: The aim of this literature review is to provide detailed information of each analgesic technique so that clinicians can make appropriate choices regarding pain management in patients with adolescent idiopathic scoliosis undergoing posterior spinal fusion.
Journal ArticleDOI
Systemic lidocaine fails to improve postoperative morphine consumption, postoperative recovery and quality of life in patients undergoing posterior spinal arthrodesis. A double-blind, randomized, placebo-controlled trial.
TL;DR: Systemic lidocaine had no analgesic benefits in posterior arthrodesis when added to an opioid-based anaesthetic regimen and was not decreased morphine requirements in the first 24 postoperative h.
Journal ArticleDOI
Current Trends in Pediatric Spine Deformity Surgery: Multimodal Pain Management and Rapid Recovery.
TL;DR: A rapid recovery pathway using the multimodal approach for pediatric scoliosis correction may offer superior postoperative pain management and faster recovery than traditional opioid only pain protocols.
References
More filters
Journal ArticleDOI
Surgery for Low Back Pain: A Review of the Evidence for an American Pain Society Clinical Practice Guideline
Roger Chou,Jamie L. Baisden,Eugene J. Carragee,Daniel K. Resnick,William O. Shaffer,John D. Loeser +5 more
TL;DR: It is found that surgery for radiculopathy with herniated lumbar disc and symptomatic spinal stenosis is associated with short-term benefits compared to nonsurgical therapy, though benefits diminish with long-term follow-up in some trials.
Journal ArticleDOI
Methadone for relief of cancer pain : a review of pharmacokinetics, pharmacodynamics, drug interactions and protocols of administration
Mellar P. Davis,Declan Walsh +1 more
TL;DR: Methadone, a synthetic opioid, has unique pharmacodynamics and pharmacokinetics, which contribute to its unique ability to relieve pain unresponsive to other potent opiates and its unique dosing and drug interactions.
Journal ArticleDOI
Spine Surgeries: Challenging Aspects And Implications For Anaesthesia
TL;DR: The pre-anaesthetic evaluation should be meticulous and is very important to know the degree of neurological damage and to anticipate the intraoperative concerns related to the approach, positioning and monitoring of neurologic functions of spinal cord.