脊柱外科ERAS术后麻醉与护理路径

Q4 Medicine

Seminars in Spine Surgery Pub Date : 2025-07-11 DOI:10.1016/j.semss.2025.101187

Ernest E. Braxton Jr.

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引用次数: 0

摘要

微创手术技术和门诊手术的趋势强调了有效的术后镇痛计划的必要性，特别是在阿片类药物成瘾率上升的情况下。本文回顾了多模式疼痛管理的使用，重点是减少阿片类药物的使用，在门诊脊柱手术中使用直立脊柱阻滞（ESB）阻滞和动态输注导管用于术后镇痛，早期活动方案和认知干预，以及术后营养管理。本综述将讨论术后管理，强调考虑手术方式、患者疼痛史、感染风险和抗凝状态的个性化疼痛管理计划的重要性。文章强调需要进一步研究脊柱外科手术后增强恢复（ERAS）技术，并强调多学科会诊以获得最佳患者结果。

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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Postoperative anesthesia and care pathways in ERAS for spine surgery

The trend toward minimally invasive surgical techniques and outpatient procedures has emphasized the need for effective postoperative analgesic plans, particularly amid rising opioid addiction rates. This article reviews the use of multimodal pain management with a focus on reducing opioid use, erector spinae blocks (ESB) blocks with ambulatory infusion catheters for postoperative analgesia in outpatient spine surgery, early mobilization protocols and cognitive intervention, and management of post-operative nutrition. This review will address postoperative management, stressing the importance of individualized pain management plans considering surgical approach, patient pain history, infection risk, and anticoagulation status. The article highlights the need for further research in Enhanced Recovery After Surgery (ERAS) techniques specific to spine surgery and emphasizes multidisciplinary consultation for optimal patient outcomes.

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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.