(458) Using a perioperative enhanced recovery care pathway for major spine surgery (PERMS) to improve pain management & patient-reported outcomes

Abstract

from baseline) and patients experienced less pain interference with daily function and mood (mean reduction of 2.1 from baseline in the Brief Pain Inventory pain interference subscale). This treatment effect was similar to that of the overall population and was maintained throughout the 12-month maintenance period. During the maintenance period, 65% of the patients did not require HYD dose adjustment; 21% increased their HYD doses to 1 dose level higher; 4% increased to 2 dose levels or higher. In this study, HYD effectively treated many chronic pain patients with comorbid depression or/and anxiety disorders.

Characterizing the risk and outcome profiles of lumbar fusion procedures in patients with opioid use disorders: a step toward improving enhanced recovery protocols for a unique patient population

“…10,12 Dagal et al looked at a unique patient population in which more than half of the patients were on chronic opioid therapy. 6 In this population, they developed a perioperative enhanced recovery care pathway for major spine surgery to improve postoperative outcomes in patients and found that patients with chronic opioid use prior to surgery reported more time in severe pain. In separate studies, there is increasing evidence that perioperative opioid consumption is associated with increased acute pain after surgeries and increased postoperative opioid use prior to discharge.…”