July 19, 2016
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Lower rates of narcotic consumption after ACDF seen with multimodal vs patient-controlled analgesia

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Results from this study showed patients who underwent anterior cervical discectomy and fusion and received multimodal analgesia had lower rates of narcotic consumption than patients who had patient-controlled analgesia.

Researchers performed a retrospective study of 239 patients who underwent anterior cervical discectomy and fusion. Of these patients, 55 patients received multimodal analgesia (MMA) and 184 patients received patient-controlled analgesia (PCA). Investigators compared inpatient narcotic consumption, VAS pain scores, nausea/vomiting, hospital length of stay and narcotic dependence during the months following surgery.

Findings showed patients in the MMA group had a lower inpatient narcotic consumption rate, were less likely to feel nauseous or to vomit and had a shorter length of hospital stay compared with patients in the PCA group. Investigators noted there was no significant difference between patient groups with regard to VAS pain scores during day 0 postoperatively or day 1 postoperatively. According to researchers, there was no significant difference in the narcotic dependence rates between the groups at either the first or second postoperative follow-up visits. by Monica Jaramillo

 

Disclosures: Bohl reports no relevant financial disclosures.  Please see the full study for a list of all other authors’ financial disclosures.