Prevention and treatment of postoperative pain after lumbar spine procedures: a systematic review

Conclusion and RecommendationsClinical evidence on perioperative pain management in patients undergoing spine procedures have significantly evolved after the review published in 2012. Aim of this systematic review is to report the latest evidence published. These include: the preoperative use of dexamethasone, that showed to be able to reduce pain at mobilization but not pain at rest and total morphine consumption; the use of gabapentinoids as part of a multimodal analgesic approach; safety and effectiveness of intraoperative use of ketamine, dexketoprofen, and tramadol. Finally, electrical nerve stimulation is gaining interest and is potentially suitable for the clinical needs.This article is protected by copyright. All rights reserved.
Source: Pain Practice - Category: Anesthesiology Authors: Tags: Review Source Type: research