Effects of general anesthesia with and without thoracic epidural block on length of stay after open spine surgery: a single-blinded randomized controlled trial

The Interval of Two‐Stage Bilateral Total Hip Arthroplasty under Enhanced Recovery Affects Perioperative Complications and Cost of Hospitalization: A Retrospective Study

“…Previous studies have attached importance to the postoperative complications and LOS in terms of ERAS in all types of surgery 32–34 . The cost of hospitalization indicated the postoperative recovery of patients from the perspective of expense and helped us know and save Medicare reimbursement 35,36 .…”

“…Previous studies have attached importance to the postoperative complications and LOS in terms of ERAS in all types of surgery. [32][33][34] The cost of hospitalization indicated the postoperative recovery of patients from the perspective of expense and helped us know and save Medicare reimbursement. 35,36 There have been few studies concerning the cost of hospitalization when determining the ideal timing in staged bilateral THA procedures.…”

What’s New in Spine Surgery

“…In addition to perioperative analgesia, intraoperative epidural analgesic injections have been used to decrease postoperative pain. Thepsoparn et al 24 compared lower thoracic epidural blocks to controls in patients undergoing lumbar laminectomy and fusion in a blinded RCT. The experimental group demonstrated reduced recovery numeric pain scores, 24-hour morphine consumption, and length of hospital stay.…”

Perioperative pain management for spine surgeries

“…66 Epidural single-injection analgesia has been reported for percutaneous transforaminal endoscopic discectomy, where the surgeon injects the drug through a transforaminal approach under fluoroscopic guidance. 67 Single-injection epidural injections, whether performed by an anesthesiologist preinduction 68 or a surgeon intraoperatively, 69 have shown decreased LOS in addition to pain relief and patient satisfaction.…”

“…Erector spinae plane block [47][48][49][50][51][52][53] Most studied block in adult spine surgeries Associated with reduced opioid consumption intraoperatively and postoperatively, lower pain scores, less NV and better patient satisfaction More comparative effectiveness studies are required Most studied block in pediatric spine surgeries Associated with reduced opioid consumption intraoperatively and postoperatively, lower pain scores, less NV and better patient satisfaction More comparative effectiveness studies are required Thoracolumbar interfascial plane block [56][57][58][59] Limited studies with mixed results Not studied Midpoint transverse process to pleura block 45,46 Inadequate data Not studied Quadratus lumborum block 60 Single retrospective study Can be used for anterior and posterior approach lumbar spine surgeries Not studied Surgical infiltration [67][68][69][70][71][72][73][74]…”