I am working with our team to develop ERAS protocols for spine surgery patients and have found nothing in the literature specific to this patient population. any help would be appreciated. I plan to post what we develop for others to adopt to their particular place of practice.
Bobbie,
I'm unaware of ERAS protocol for spine but there are two primary reasons patients have prolonged stays: 1. Pain; 2. Postoperative nausea and vomiting. There, incorporating aggressive prophylaxis on both fronts has been quite successful (anecdotally). Your surgeon must use local anesthetics liberally as well.
In our institution we have an ERAS nurse who works with patients admitted for Elective complex Spine surgery. I have found that her involvement has clearly improved the patient experience and helps shorten LOS. Preoperative planning and education of the patient is important in addition to all the therapists and clinical team being aware of early mobilisation protocols.
Thank you so much for your input! Both of these have been very helpful.
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