Perioperative care in lumbar spinal fusion: Consensus statement from ERAS Society
Written By : Medha Baranwal
Medically Reviewed By : Dr. Kamal Kant Kohli
Published On 2021-02-10 01:39 GMT | Update On 2021-02-10 01:39 GMT
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Delhi: The Enhanced Recovery After Surgery (ERAS) Society has released consensus statement for perioperative care in lumbar spinal fusion.
This multidisciplinary consensus review, published in the Spine Journal, summarizes the literature and proposes recommendations for the perioperative care of patients undergoing lumbar fusion surgery with an ERAS program.
Preoperative recommendations
- Preoperative patient education is recommended
- Patients undergoing lumbar fusion should undergo a preoperative nutritional assessment.
- Preoperative nutritional interventions should be offered to patients identified as malnourished.
- A combined smoking cessation therapy at a minimum of 4 weeks before surgery is recommended.
- Alcohol cessation programs 4 to 8 weeks before surgery can reduce postoperative complications.
- Clear fluid should be permitted up to 2 hours and solid foods up to 6 hours before the induction of general anesthesia.
- The routine administration of sedatives to reduce anxiety preoperatively is not recommended.
- The routine preoperative administration of acetaminophen, NSAIDs, and gabapentinoids as part of a multimodal opioid-sparing analgesia strategy is recommended.
- Preoperative anemia should be assessed and corrected before lumbar fusion.
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