Beyond opioid patient-controlled analgesia: a systematic review of analgesia after major spine surgery.

Author: BalireddyRavi K, DurieuxMarcel E, SharmaSonal, VorenkampKevin E

Paper Details 
Original Abstract of the Article :
Postoperative pain control in patients undergoing spine surgery remains a challenge for the anesthesiologist. In addition to incisional pain, these patients experience pain arising from deeper tissues such as bones, ligaments, muscles, intervertebral disks, facet joints, and damaged nerve roots. The...See full text at original site
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引用元:
https://doi.org/10.1097/AAP.0b013e3182340869

データ提供:米国国立医学図書館(NLM)

Beyond Opioids: Pain Management After Spine Surgery

Pain management after spine surgery is a complex challenge, often requiring innovative approaches to effectively address pain. This study explores the limitations of opioid-based analgesia, particularly in patients who are opioid dependent or tolerant, and examines alternative pain management strategies. The authors conducted a systematic review of the available literature, evaluating various treatment options for pain management after major spine surgery, seeking to identify the most effective and safe alternatives to opioid-based therapies.

Exploring Alternatives to Opioid Analgesia for Spine Surgery

The study's findings highlight the need for a multi-modal approach to pain management after spine surgery, incorporating a variety of strategies to address the complex nature of postoperative pain. The review suggests that alternatives to opioid-based analgesia, such as regional anesthesia, non-steroidal anti-inflammatory drugs (NSAIDs), and other non-pharmacological interventions, may be beneficial in specific situations. The authors underscore the importance of individualized treatment plans, taking into account the patient's specific needs and risk factors.

Optimizing Pain Management for Spine Surgery Patients

This research offers valuable insights into the evolving landscape of pain management after spine surgery. The study's findings highlight the limitations of opioid-based analgesia and underscore the need for a more comprehensive and personalized approach to pain management. It encourages healthcare professionals to consider a range of alternative therapies to effectively address the complex pain needs of spine surgery patients.

Dr.Camel's Conclusion

This study is a reminder that the desert of pain management is constantly shifting, requiring us to explore new pathways and embrace innovation. It underscores the importance of moving beyond opioid-based analgesia to develop more comprehensive and individualized treatment strategies that effectively address the diverse pain needs of patients. By continuing to search for better solutions, we can hope to create a more comfortable and fulfilling journey for those recovering from spine surgery.

Date :
  1. Date Completed 2012-07-30
  2. Date Revised 2022-04-09
Further Info :

Pubmed ID

22030723

DOI: Digital Object Identifier

10.1097/AAP.0b013e3182340869

SNS
PICO Info
in preparation
Languages

English

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