Postoperative complications of spine surgery

Swann, Matthew; Hoes, Kathryn; Aoun, Salah G.; McDonagh, David L.

doi:10.1016/j.bpa.2016.01.002

Cited by 51 publications

(55 citation statements)

References 166 publications

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“…The prone position can cause complications that are considered potentially serious due to vascular compression, hemodynamic changes, increased abdominal pressure and PI (19) .…”

Section: Discussionmentioning

confidence: 99%

Risk for surgical positioning injuries: scale validation in a rehabilitation hospital

Nascimento¹,

Rodrigues

2020

Rev. Latino-Am. Enfermagem

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Objective: to validate the Risk Assessment Scale for the Development of Injuries due to Surgical Positioning in the stratification of risk for injury development in perioperative patients at a rehabilitation hospital. Method: analytical, longitudinal and quantitative study. An instrument and the scale were used in the three perioperative phases in 106 patients. The data were analyzed using descriptive and inferential statistics. Results: most patients showed high risk for perioperative injuries, both in the scale score with estimated time and in the real-time score, with a mean of 19.97 (±3.02) and 19.96 (±3.12), respectively. Most participants did not show skin lesions (87.8%) or pain (92.5%). Inferential analysis enabled us to assert that the scale scores are associated with the appearance of injuries resulting from positioning, therefore, it can adequately predict that low-risk patients are unlikely to have injuries and those at high risk are more likely to develop injuries. Conclusion: the scale validation is shown by the association of scores with the appearance of injuries, therefore, it is a valid and useful tool, and it can guide the clinical practice of perioperative nurses in rehabilitation hospitals in order to reduce risk for injuries due to surgical positioning.

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“…The prone position can cause complications that are considered potentially serious due to vascular compression, hemodynamic changes, increased abdominal pressure and PI (19) .…”

Section: Discussionmentioning

confidence: 99%

Risk for surgical positioning injuries: scale validation in a rehabilitation hospital

Nascimento¹,

Rodrigues

2020

Rev. Latino-Am. Enfermagem

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“…The point in time at which the airway compromise occurs has been described as a possible indicator of the etiology. Wound hematomas and pharyngeal edema normally occur within the first hours after the procedure, while respiratory compromise after three days indicates pathologies including abscess formation, cerebrospinal fluid leak or hardware failure[23]. An optimization of inter-departmental cooperation and the capability of emergent imaging may expedite the diagnosis, resulting in a timely intervention and re-establishment of airway control.…”

Section: Discussionmentioning

confidence: 99%

Emergent reintubation following elective cervical surgery: A case series

Schroeder

Salzmann

Hughes

et al. 2017

WJO

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AIMTo review cases of emergent reintubation after cervical surgery.METHODSPatients who were emergently intubated in the post-operative period following cervical surgery were identified. The patients’ prospectively documented demographic parameters, medical history and clinical symptoms were ascertained. Pre-operative radiographs were examined for the extent of their pathology. The details of the operative procedure were discerned.RESULTSEight hundred and eighty patients received anterior- or combined anterior-posterior cervical surgery from 2008-2013. Nine patients (1.02%) required emergent reintubation. The interval between extubation to reintubation was 6.2 h [1-12]. Patients were kept intubated after reintubation for 2.3 d [2-3]. Seven patients displayed moderate postoperative edema. One patient was diagnosed with a compressive hematoma which was subsequently evacuated in the OR. Another patient was diagnosed with a pulmonary effusion and treated with diuretics. One patient received a late debridement for an infected hematoma. Six patients reported residual symptoms and three patients made a complete recovery.CONCLUSIONRespiratory compromise is a rare but potentially life threatening complication following cervical surgery. Patients at increased risk should be monitored closely for extended periods of time post-operatively. If the airway is restored adequately in a timely manner through emergent re-intubation, the outcome of the patients is generally favorable.

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“…Furthermore, PONV affects 30% to 50% of all surgical patients, and up to 80% of patients are at high risk for developing PONV [222,223]. Therefore, preoperative risk assessment is essential in ERAS pathways and should also be applied in spine surgery [224]. Major risk factors are female gender, patients with a history of PONV or motion sickness, and nonsmokers [225,226].…”

Section: Quality Of Evidence: Moderatementioning

confidence: 99%

Consensus statement for perioperative care in lumbar spinal fusion: Enhanced Recovery After Surgery (ERAS®) Society recommendations

et al. 2021

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BACKGROUND: Enhanced Recovery After Surgery (ERAS) evidence-based protocols for perioperative care have led to improvements in outcomes in numerous surgical areas, through multimodal optimization of patient pathway, reduction of complications, improved patient experience and reduction in the length of stay. ERAS represent a relatively new paradigm in spine surgery. PURPOSE: This multidisciplinary consensus review summarizes the literature and proposes recommendations for the perioperative care of patients undergoing lumbar fusion surgery with an ERAS program.FDA device/drug status: not applicable.

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Postoperative complications of spine surgery

Cited by 51 publications

References 166 publications

Risk for surgical positioning injuries: scale validation in a rehabilitation hospital

Risk for surgical positioning injuries: scale validation in a rehabilitation hospital

Emergent reintubation following elective cervical surgery: A case series

Consensus statement for perioperative care in lumbar spinal fusion: Enhanced Recovery After Surgery (ERAS®) Society recommendations

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