Perioperative Pain Management After Posterior Spinal Fusion for Idiopathic Scoliosis

AbstractPurpose of ReviewTo review and summarize current evidence for analgesic modalities after adolescent posterior spinal fusion (PSF) with an emphasis on recent updates in the literature.Recent FindingsOpioid patient-controlled analgesia (PCA) continues to be the cornerstone of most analgesic protocols. The recent introduction of new approaches to opioid-sparing analgesic modalities, including scheduled methadone, new regional anesthetic techniques, and novel multimodal analgesics, continues to be explored for efficacy in adolescent PSF.SummaryWhile many analgesic approaches have limited data, some new techniques have shown significant potential in reducing opioid use and improving the quality of analgesia for pediatric PSF. Further comparative studies will hopefully address the knowledge gaps identified in this narrative review.
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research