APP Plenary Session: 2019 AANS Annual Scientific Meeting-Impact of Patient-Controlled Analgesia on Clinical Outcomes after Posterior Lumbar Spinal Fusion Surgery Video

Impact of Patient-Controlled Analgesia on Clinical Outcomes after Posterior Lumbar Spinal Fusion Surgery Video

Video Transcription

Video Summary

Summary: <br />This video is a presentation by a medical student at the University of Arizona College of Medicine, Phoenix, discussing the impact of patient-controlled analgesia (PCA) on clinical outcomes after posterior lumbar spinal fusion. The speaker presents the findings of a retrospective review of 240 patients who underwent the surgery for degenerative disease. The study compared the use of PCA pumps and nurse-controlled analgesia (NCA). The results showed that PCA usage led to increased opiate consumption and worse pain scores, particularly in opiate-naive patients. However, patients who received PCA reported higher satisfaction and preference for its use. The speaker suggests considering patient preference when deciding on PCA usage. The study found no difference in length of stay or adverse outcomes between the two groups.

Asset Caption

Impact of Patient-Controlled Analgesia on Clinical Outcomes after Posterior Lumbar Spinal Fusion Surgery

Keywords

medical student

University of Arizona College of Medicine

patient-controlled analgesia

posterior lumbar spinal fusion

clinical outcomes