Nurses’s Role in Enhanced Recovery After Spinal Surgery
Keywords:
nurses’s role, spinal surgery, enhanced recovery after spinal surgeryAbstract
Spinal disorders are conditions that significantly affect both the physical and mental well-being of patients. In severe cases, surgical intervention is required to correct structural abnormalities of the spine. Such procedures are considered major surgeries and carry a high risk of complications. Therefore, the implementation of the Enhanced Recovery After Surgery (ERAS) protocol is crucial. Its primary goal is to promote faster recovery, reduce postoperative complications, shorten hospital stays, and decrease healthcare costs. Nurses play a vital role in promoting and driving the ERAS approach throughout all phases of care, preoperative, intraoperative, and postoperative, up to the point of discharge. Their responsibilities include assessment, education, guidance, and nursing care to ensure patients are well-prepared for surgery. They are also essential in preventing and reducing complications during and after the procedure. Additionally, the ERAS protocol emphasizes multimodal pain management, nutritional support, postoperative rehabilitation, and preparation for discharge. Nurses are key personnel in applying ERAS principles to achieve the best possible outcomes for patients and their families. Through their involvement, patients can recover more quickly and enjoy a better quality of life.
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References
GBD 2021 Low Back Pain Collaborators. Global, regional, and national burden of low back pain, 1990-2020, its attributable risk factors, and projections to 2025: a systematic analysis of the Global Burden of Disease Study 2021. Lancet Rheumatol. 2023;5(6):e316-329.
Bansal T, Sharan AD, & Garg B. Enhanced recovery after surgery (ERAS) protocol in spine surgery. Journal of clinical orthopaedics and trauma. 2022;31(8):101944.
Dietz N, Sharma M, Adams S, Alhourani A, Ugiliweneza B, Wang D, et al. Enhanced recovery after surgery (ERAS) for spine surgery: a systematic review. World neurosurgery. 2019;130(10):415-26.
Debono B, Wainwright TW, Wang MY, Sigmundsson FG, Yang MMH, Smid-Nanninga H, et al. Consensus statement for perioperative care in lumbar spinal fusion: Enhanced Recovery After Surgery (ERAS®) Society recommendations. The spine journal. 2021; 21(5): 729-52.
Zarina S. Ali, Tracy S. Ma, Ali K. Ozturk, Neil R. Malhotra, James M. Schuster, Paul J. Marcotte, et al. Pre-optimization of spinal surgery patients: Development of a neurosurgical enhanced recovery after surgery (ERAS) protocol. Clinical Neurology and Neurosurgery. 2018;164(1):142-53.
Adogwa O, Elsamadicy AA, Mehta AI, Cheng J, Bagley CA, & Karikari IO. Preoperative nutritional status is an independent predictor of 30-day hospital readmission after elective spine surgery. Spine. 2016;41(17):1400–4.
ASA task Force. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures: an updated report by the american society of anesthesiologists task force on preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration. Anesthesiology. 2017; 126(3):376–93.
Meyrat R, Vivian E, Sridhar A, Gulden RH, Bruce S, Martinez A, et al. Development of multidisciplinary, evidenced-based protocol recommendations and implementation strategies for anterior lumbar interbody fusion surgery following a literature review. Medicine. 2023;102(47):e36142.
Spina NT, Aleem IS, Nassr A, & Lawrence BD. Surgical site infections in spine surgery: preoperative prevention strategies to minimize risk. Global spine journal. 2018;8(4 Suppl): 31S–6S.
Sekerak R, Mostafa E, Morris MT, Nessim A, Vira A, & Sharan A. Comparative outcome analysis of spinal anesthesia versus general anesthesia in lumbar fusion surgery. Journal of clinical orthopaedics and trauma. 2021;13(2):122-6.
Simegn GD, Bayable SD, & Fetene MB. Prevention and management of perioperative hypothermia in adult elective surgical patients: a systematic review. Annals of medicine and surgery. 2021;72(12):103059.
Patel SB, Griffiths-Jones W, Jones CS, Samartzis D, Clarke AJ, Khan S, et al. The current state of the evidence for the use of drains in spinal surgery: systematic review. European spine journal. 2017;26(11):2729-38.
The Royal College of Anesthesiologists of Thailand and Thai Association for the Study of Pain. Clinical Guidance for Acute Postoperative Pain Management. 2nded. Bangkok. The Royal College of Anesthesiologists of Thailand and Thai Association for the Study of Pain; 2019. (in Thai)
Singhatanadgige W. Minimally Invasive Transforaminal Lumbar Interbody Fusion. 1sted. Bangkok. Chulalongkorn University press; 2022. (in Thai)
Konthiang K, Varee A, & Niramon P. The Role of Holistic Nurses in Integrative NonPharmacological Pain Management. Journal of The Royal Thai Army Nurses. 2024;25(3): 73-81. (in Thai)
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