# Role of regional anesthesia in minimizing opioid use and enhancing patient recovery: a case series

## TL;DR

This case series explores how regional anesthesia in spinal surgery reduces opioid use and improves recovery outcomes.

## Contribution

The study contributes two case examples of regional anesthesia use in spinal surgery within Enhanced Recovery After Surgery protocols.

## Key findings

- Regional anesthesia in spinal surgery leads to stable hemodynamics and reduced opioid use.
- Patients undergoing regional anesthesia experienced faster recovery and shorter hospital stays.
- Implementation of regional anesthesia aligns with Enhanced Recovery After Surgery principles.

## Abstract

Enhanced Recovery After Surgery employs evidence-based strategies to improve outcomes across the preoperative, intraoperative, and postoperative phases. In spinal surgery, compared with traditional management with general anesthesia, regional anesthesia offers benefits such as reduced pain, improved organ function, faster mobility, and shorter hospital stays. Studies have shown that regional anesthesia, particularly spinal anesthesia, results in shorter operation times, lower postoperative pain, and fewer thrombosis complications than does general anesthesia. The implementation of regional anesthesia in Enhanced Recovery After Surgery protocols for elective spinal surgeries aims to minimize hospital stays and opioid use, significantly enhancing recovery and patient outcomes.

Two Sundanese patients underwent laminectomy surgery for chronic low back pain and disc degeneration. The first, a 57-year-old man, presented with bulging discs and osteophytes in the lumbar spine and underwent a 2-hour surgery in the prone position. His vital signs remained stable throughout. The second patient, a 54-year-old woman, also had similar lumbar spine issues and underwent equally successful surgery under stable hemodynamic conditions.

Regional anesthesia during lumbar spine surgery ensures stable perioperative hemodynamics and reduces opioid needs, which aligns with Enhanced Recovery After Surgery principles, promoting faster recovery and better outcomes.