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Implementation of a Multimodal Analgesia Protocol Among Outpatient Neurosurgical Patients Undergoing Spine Surgery to Improve Patient Outcomes.

Publication ,  Journal Article
Tucker, EM; Thompson, JA; Muckler, VC
Published in: Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
February 2021

This quality improvement project implemented an evidence-based multimodal analgesia protocol among patients undergoing outpatient spine surgery in an attempt to decrease postoperative opioid requirements, postoperative pain scores, and facility and postanesthesia care unit length of stay (LOS).Two independent samples were compared with a preimplementation and postimplementation design. There were 37 patients in the preimplementation group and 36 patients in the postimplementation group.Data were collected by a retrospective chart review of neurosurgical patients undergoing spine surgery and included postoperative opioid requirements, postoperative pain scores, facility and postanesthesia care unit LOS, and the number of protocol components implemented on each patient.Intraoperative and postoperative by mouth opioid requirements were significantly decreased postimplementation. Postoperative opioid requirements decreased, and postimplementation pain scores were reduced across all time points. LOS did not significantly change.This multimodal analgesia protocol significantly decreased opioid consumption among neurosurgical patients at this surgery center.

Duke Scholars

Published In

Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses

DOI

EISSN

1532-8473

ISSN

1089-9472

Publication Date

February 2021

Volume

36

Issue

1

Start / End Page

8 / 13

Related Subject Headings

  • Spine
  • Retrospective Studies
  • Quality Improvement
  • Pain, Postoperative
  • Nursing
  • Humans
  • Analgesics, Opioid
  • Analgesia
  • Ambulatory Care
  • 4205 Nursing
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Tucker, E. M., Thompson, J. A., & Muckler, V. C. (2021). Implementation of a Multimodal Analgesia Protocol Among Outpatient Neurosurgical Patients Undergoing Spine Surgery to Improve Patient Outcomes. Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses, 36(1), 8–13. https://doi.org/10.1016/j.jopan.2020.05.010
Tucker, Elizabeth M., Julie A. Thompson, and Virginia C. Muckler. “Implementation of a Multimodal Analgesia Protocol Among Outpatient Neurosurgical Patients Undergoing Spine Surgery to Improve Patient Outcomes.Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses 36, no. 1 (February 2021): 8–13. https://doi.org/10.1016/j.jopan.2020.05.010.
Tucker EM, Thompson JA, Muckler VC. Implementation of a Multimodal Analgesia Protocol Among Outpatient Neurosurgical Patients Undergoing Spine Surgery to Improve Patient Outcomes. Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses. 2021 Feb;36(1):8–13.
Tucker, Elizabeth M., et al. “Implementation of a Multimodal Analgesia Protocol Among Outpatient Neurosurgical Patients Undergoing Spine Surgery to Improve Patient Outcomes.Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses, vol. 36, no. 1, Feb. 2021, pp. 8–13. Epmc, doi:10.1016/j.jopan.2020.05.010.
Tucker EM, Thompson JA, Muckler VC. Implementation of a Multimodal Analgesia Protocol Among Outpatient Neurosurgical Patients Undergoing Spine Surgery to Improve Patient Outcomes. Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses. 2021 Feb;36(1):8–13.
Journal cover image

Published In

Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses

DOI

EISSN

1532-8473

ISSN

1089-9472

Publication Date

February 2021

Volume

36

Issue

1

Start / End Page

8 / 13

Related Subject Headings

  • Spine
  • Retrospective Studies
  • Quality Improvement
  • Pain, Postoperative
  • Nursing
  • Humans
  • Analgesics, Opioid
  • Analgesia
  • Ambulatory Care
  • 4205 Nursing