Multimodal Analgesic Regimen for Spine Surgery A Randomized Placebo-controlled Trial

Conclusions An analgesic pathway based on preoperative acetaminophen and gabapentin, combined with intraoperative infusions of lidocaine and ketamine, did not improve recovery in patients who had multilevel spine surgery.Editor ’s PerspectiveWhat We Already Know about This TopicMultimodal analgesia is a strongly advocated approach for perioperative pain managementMultimodal analgesia has not been carefully evaluated for spine surgeryWhat This Article Tells Us That Is NewAdult spine surgery patients were randomized to placebo or to the combination of acetaminophen, gabapentin, ketamine, and lidocaineThe Quality of Recovery was similar in each group, as were pain scores and opioid consumption
Source: Anesthesiology - Category: Anesthesiology Source Type: research