Healthcare practitioners’ experiences of postoperative pain management in lumbar spine surgery care—A qualitative study

Object The authors undertook this meta-analysis to assess the efficacy and safety of nonsteroidal antiinflammatory drugs (NSAIDs) in addition to opioid analgesics on perioperative pain management in lumbar spine surgery. Methods The authors searched MEDLINE, Excerpta Medica (EMBASE), The Cochrane Library, CINAHL, PsycINFO, Allied and Complementary Medicine (AMED), and Science Citation Index Expanded databases. In addition, they manually searched key journals and their references. They included randomized trials comparing the use of NSAIDs in addition to opioid analgesics versus opioid analgesics alone after posterior lumbar discectomy, laminectomy, or spinal fusion. Two independent reviewers performed an assessment of the quality of the methods. Results Seventeen studies comprising 400 patients who received NSAIDs in addition to opioid analgesics and 389 patients receiving opioid analgesics alone were included. Patients receiving NSAIDs in addition to opioid analgesics had lower pain scores and consumed fewer opioids than the group receiving opioid analgesics alone. There was no difference in the incidence of adverse effects. Conclusions This meta-analysis provides evidence that the addition of NSAIDs to opioid analgesics in lumbar spine surgery provided better pain control than opioid analgesics alone.

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Local anesthetic at the iliac crest donor-site for postoperative pain management in spine surgery patients

10.1002/14651858.cd006635 ◽

2007 ◽

Cited By ~ 1

Author(s):

Dino Samartzis ◽

Francis H Shen ◽

Nitin Khanna ◽

Jeremy Fairbank ◽

Howard An

Keyword(s):

Pain Management ◽

Postoperative Pain ◽

Spine Surgery ◽

Local Anesthetic ◽

Iliac Crest ◽

Donor Site ◽

Postoperative Pain Management

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Efficacy of erector spinae plane block on postoperative pain in patients undergoing lumbar spine surgery

European Spine Journal ◽

10.1007/s00586-021-07056-z ◽

2021 ◽

Author(s):

Sinan Asar ◽

Sinem Sarı ◽

Ece Yamak Altinpulluk ◽

Mehmet Turgut

Keyword(s):

Lumbar Spine ◽

Postoperative Pain ◽

Spine Surgery ◽

Erector Spinae ◽

Lumbar Spine Surgery ◽

Erector Spinae Plane Block

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“A COMPARATIVE STUDY TO EVALUATE THE EFFICACY OF DULOXETINE IN POSTOPERATIVE PAIN RELIEF IN PATIENTS IN UNDERGOING LUMBAR SPINE SURGERY ”

10.36106/ijsr/1602804 ◽

2021 ◽

pp. 76-77

Author(s):

Deepti Chauhan ◽

Satyendra Yadav ◽

Heena Sheikh ◽

Ashish Mathur

Keyword(s):

Lumbar Spine ◽

Postoperative Pain ◽

Pain Relief ◽

General Anaesthesia ◽

Spine Surgery ◽

Postoperative Pain Relief ◽

Lumbar Spine Surgery ◽

Analgesic Requirement ◽

Respiratory Parameters ◽

Result Analysis

AIMS AND OBJECTIVES: To evaluate the efcacy of duloxetine in different doses in postoperative pain relief in patients undergoing lumbar spine surgery. MATERIALAND METHOD: 80 patients of ASA grade І & ІІ of either sex scheduled for lumbar spine surgery under general anaesthesia were divided into 2 groups (n=40 each) randomly.Group D (n=40) Patients who received a 60 mg duloxetine 1 hour before surgery and another tablet the following morning. Group 'P'(n=40) Patients who received a placebo tablet 1 hour before surgery and again the following morning. Pulse rate, blood pressure, respiratory rate and severity of pain on NRS scale was noted at 0 hr, 4 hr, 8 hr, 12 hr, 16 hr, 20 hr, 24 hr, 28 hr, 32 hr and 48 hr after surgery. And the presence or absence of adverse effects, such as headache, nausea, vomiting, dizziness, and drowsiness were noted. RESULT: Analysis revealed that time for rst analgesic requirement was signicantly longer with oral Duloxetine 60 mg than with placebo. Pre-emptive oral Duloxetine 60 mg decreases the severity of pain postoperatively but not signicantly as compared to placebo in patients posted for lumbar spine surgery under general anaesthesia. Oral Duloxetine 60 mg had no signicant effect on cardiovascular and respiratory parameters. Patients receiving duloxetine had higher incidence of nausea, vomiting. CONCLUSION:that time for rst analgesic requirement was signicantly longer with oral Duloxetine 60 mg than placebo.

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