ArticleIndian journal of anaesthesia2025
Comparison of Enhanced Recovery After Surgery guideline-based multimodal analgesia with patient-controlled morphine analgesia for length of stay after spine instrumentation surgeries - A randomised controlled trial.
Article in Indian journal of anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
Background and Aims: Despite the benefits of Enhanced Recovery After Surgery (ERAS) guidelines, there are still hesitations in implementing them. In this study, we compared the ERAS guideline-based multimodal analgesia protocol (ERAS-MMA) with patient-controlled morphine analgesia (PCA-Morphine) for single-level lumbar fusion surgeries. The primary objective was the length of hospital stay. The secondary objectives were the postoperative mobilisation time, time to start oral feeds, pain scores, complications, and re-admissions. Methods: This is a double-blinded, randomised controlled study, conducted on 60 participants who were randomised into two groups. Group T received the ERAS-MMA, and Group C received PCA-Morphine. An unpaired Results: The difference in the mean length of the hospital stay was significant [Group T vs Group C, 4226.02 (Standard Deviation (SD): 522.21) min vs 7144.12 (SD: 592.11) min), Conclusion: Implementing ERAS-MMA for patients undergoing single-level spine fusion surgery significantly contributes to lesser hospital length of stay, faster time to oral feeding and mobilisation, lower opioid use with better pain scores, and reduced complications.
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