| Literature DB >> 30117797 |
Roxana M Grasu1, Juan P Cata1,2, Anh Q Dang1, Claudio E Tatsui3, Laurence D Rhines3, Katherine B Hagan1, Shreyas Bhavsar1, Sally R Raty1, Radha Arunkumar1, Yury Potylchansky1, Ian Lipski1, Benjamin A Arnold1, Thomas M McHugh1, Justin E Bird4, Andrea Rodriguez-Restrepo5, Mike Hernandez6, Keyuri U Popat1.
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.Entities:
Keywords: 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
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Year: 2018 PMID： 30117797 DOI： 10.3171/2018.4.SPINE171317
Source DB: PubMed Journal: J Neurosurg Spine ISSN： 1547-5646