In the Journals

Lower rates of narcotic consumption after ACDF seen with multimodal vs patient-controlled analgesia

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.

 

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.