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Evidence-Based Multimodal Analgesia for Perioperative Management of Spinal Instrumentation

  • Neuroanesthesia (D Sharma, Section Editor)
  • Published:
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Abstract

Purpose of Review

The purpose of the review is to highlight the importance of non-opioid analgesia in the perioperative management of patients presenting for spinal instrumentation.

Recent Findings

For decades, opiates have been the mainstay of perioperative analgesia for spinal surgeries. However, recent evidence shows the benefit of non-opioid agents as part of multimodal analgesia for spinal instrumentation surgeries. Multimodal analgesia includes non-opioid agents like pregabalin, dexmedetomidine, gabapentin, magnesium, lidocaine, acetaminophen, non-steroidal anti-inflammatory agents, and ketamine as well as use of local and regional anesthesia.

Summary

For patients presenting for spinal instrumentation surgeries, multimodal analgesia should be used with a combination of local, regional techniques as well as non-opioid agents to achieve effective perioperative pain control while decreasing use of opiates and the associated adverse effects.

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Correspondence to Ehab Farag.

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Praveen Chahar, Deepak Agarwal, and Ehab Farag declare they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Neuroanesthesia

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Chahar, P., Agarwal, D. & Farag, E. Evidence-Based Multimodal Analgesia for Perioperative Management of Spinal Instrumentation. Curr Anesthesiol Rep 8, 298–305 (2018). https://doi.org/10.1007/s40140-018-0287-0

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