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First Aid Perioperative Ultrasound pp 585–597Cite as

Acute Pain Management Protocol for Spine Procedures

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Abstract

The total number of spine surgeries performed has seen an upward trend over the past several decades not only in the United States but worldwide. Spine surgery is associated with moderate to severe postoperative pain and inadequate analgesia in patients undergoing spine surgery results in poor outcomes, delayed mobilization and rehabilitation, higher rates of admission and poor satisfaction. Although majority of lumbar spine procedures are still performed under general anesthesia, there is a large body of evidence that supports the use of regional interventions. Opportunities for regional anesthesia and analgesia have expanded recently due to emphasis on the opioid-minimizing approach for spine care (Table 1). Both neuraxial and truncal analgesia techniques have been tried, including epidural analgesic, spinal anesthesia, erector spinae plane blocks and thoracolumbar inter-fascial plane blocks. All these techniques work to control pain by different mechanisms and offer enhanced analgesia for a longer duration with lower dosage and side effects compared with administration of systemic opioids. In this chapter we will discuss regional analgesic approaches to manage pain after spine surgery.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology & Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA

    Jennifer Mardini & Sonal Sharma

  2. Penn State College of Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA

    Shayann Ramedani

Authors
  1. Jennifer Mardini
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  2. Shayann Ramedani
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  3. Sonal Sharma
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Corresponding author

Correspondence to Sonal Sharma .

Editor information

Editors and Affiliations

  1. Department of Anesthesiology, Yale University, New Haven, CT, USA

    Jinlei Li

  2. Shanghai Jiaotong University, Shanghai Sixth People’s Hospital, Shanghai, China

    Wei Jiang

  3. Department of Anesthesiology, Yale University, New Haven, CT, USA

    Nalini Vadivelu

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Mardini, J., Ramedani, S., Sharma, S. (2023). Acute Pain Management Protocol for Spine Procedures. In: Li, J., Jiang, W., Vadivelu, N. (eds) First Aid Perioperative Ultrasound. Springer, Cham. https://doi.org/10.1007/978-3-031-21291-8_34

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  • DOI: https://doi.org/10.1007/978-3-031-21291-8_34

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-21290-1

  • Online ISBN: 978-3-031-21291-8

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