Development and implementation of a comprehensive spine surgery enhanced recovery after surgery protocol: the Cleveland Clinic experience

Author:

Chakravarthy Vikram B.1,Yokoi Hana2,Coughlin Daniel J.1,Manlapaz Mariel R.3,Krishnaney Ajit A.1

Affiliation:

1. Departments of Neurosurgery and

2. Case Western School of Medicine, Cleveland, Ohio

3. Anesthesia, Cleveland Clinic Lerner College of Medicine; and

Abstract

Enhanced recovery after surgery (ERAS) protocols have been shown to be effective at reducing perioperative morbidity and costs while improving outcomes. To date, spine surgery protocols have been limited in scope, focusing only on specific types of procedures or specific parts of the surgical episode. The authors describe the creation and implementation of one of the first comprehensive ERAS protocols for spine surgery. The protocol is unique in that it has a comprehensive perioperative paradigm encompassing the entire surgical period that is tailored based on the complexity of each individual spine patient.

Publisher

Journal of Neurosurgery Publishing Group (JNSPG)

Subject

Neurology (clinical),General Medicine,Surgery

Reference104 articles.

1. Decreased incidence of venous thromboembolism after spine surgery with early multimodal prophylaxis: clinical article;Cox;J Neurosurg Spine,2014

2. The effect of ketorolac on thoracolumbar posterolateral fusion: a systematic review and meta-analysis;Li;Clin Spine Surg,2018

3. Clinical review: goal-directed therapy in high risk surgical patients;Lees;Crit Care,2009

4. Liberal or restrictive transfusion in high-risk patients after hip surgery;Carson;N Engl J Med,2011

5. Combining paracetamol (acetaminophen) with nonsteroidal antiinflammatory drugs: a qualitative systematic review of analgesic efficacy for acute postoperative pain;Ong;Anesth Analg,2010

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