2018 AANS Annual Scientific Meeting-500. Enhanced recovery after surgery (ERAS) decreases postoperative opioid use in elective spinal and peripheral nerve surgery

500. Enhanced recovery after surgery (ERAS) decreases postoperative opioid use in elective spinal and peripheral nerve surgery

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Video Transcription

Video Summary

The video discussed the implementation of an enhanced recovery after surgery (ERAS) protocol at the University of Pennsylvania for spinal and peripheral nerve surgery. The protocol aimed to decrease post-operative opioid use by implementing a multimodal pain management regimen and optimizing pre, peri, and post-operative care for patients. The study showed that the ERAS pathway was successful in reducing opioid use in both the peri-operative period and one month after surgery. However, there were no significant differences in pain scores or length of stay. The study had limitations, including a small sample size and lack of randomization. The video also highlighted the importance of ERAS protocols in improving surgical outcomes and encouraging its implementation in other centers. Overall, while the study showed promising results, further research is needed with a larger sample size and potential randomization to determine the long-term durability of the reduction in opioid use. The video included discussions and considerations from other experts in the field. <br /><br />Credits: <br />- Video Presenter: Dr. Zarina Ali<br />- Statistical Discussant: Ab Kulkarni<br />- Paper Discussant: Michael Wang

Asset Caption

Zarina S. Ali, MD

Keywords

enhanced recovery after surgery

ERAS protocol

opioid use reduction

multimodal pain management

surgical outcomes improvement