Anesthesia and pain management in ERAS for spine surgery

Q4 Medicine

Seminars in Spine Surgery Pub Date : 2025-07-11 DOI:10.1016/j.semss.2025.101185

Carol Girgiss , Modupe Oladele , M. Alice Vijjeswarapu

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引用次数: 0

Abstract

Enhanced Recovery After Surgery (ERAS) is a multidisciplinary, evidence-based approach that has demonstrated significant benefits in spinal surgery, including reduced complications, shorter hospital stays, and improved patient satisfaction. Originally developed for colorectal and cardiothoracic procedures, ERAS protocols are increasingly applied to spine surgery, emphasizing preoperative optimization, multimodal analgesia, regional anesthesia, and intraoperative strategies such as minimally invasive techniques, blood conservation, and neuromonitoring. Postoperatively, early mobilization, nutritional support, and opioid-sparing pain management are critical to enhancing recovery. Successful ERAS implementation depends on multidisciplinary collaboration, standardized pathways, and ongoing quality improvement to overcome logistical barriers. Future directions include tailoring protocols for high-risk populations and leveraging patient-reported outcomes to refine care. As ERAS continues to evolve, it holds the potential to continue to transform perioperative spine care by integrating technology, evidence-based practices, and individualized patient management strategies.

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脊柱外科ERAS的麻醉与疼痛管理

术后增强恢复（ERAS）是一种多学科、基于证据的方法，在脊柱手术中具有显著的益处，包括减少并发症、缩短住院时间和提高患者满意度。ERAS最初是为结肠直肠癌和心胸外科手术开发的，现在越来越多地应用于脊柱外科手术，强调术前优化、多模式镇痛、区域麻醉和术中策略，如微创技术、血液保护和神经监测。术后早期活动、营养支持和不使用阿片类药物的疼痛管理对促进恢复至关重要。ERAS的成功实施取决于多学科合作、标准化途径和持续的质量改进，以克服后勤障碍。未来的方向包括为高危人群量身定制方案，并利用患者报告的结果来改进护理。随着ERAS的不断发展，它具有通过整合技术、循证实践和个性化患者管理策略继续改变围手术期脊柱护理的潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Spine Surgery Medicine-Surgery

CiteScore

0.50

自引率

0.00%

发文量

审稿时长

2 days

期刊介绍： Seminars in Spine Surgery is a continuing source of current, clinical information for practicing surgeons. Under the direction of a specially selected guest editor, each issue addresses a single topic in the management and care of patients. Topics covered in each issue include basic anatomy, pathophysiology, clinical presentation, management options and follow-up of the condition under consideration. The journal also features "Spinescope," a special section providing summaries of articles from other journals that are of relevance to the understanding of ongoing research related to the treatment of spinal disorders.