Journal of Pain Research (Sep 2022)
Intraoperative Methadone and Short Stay Spine Surgery: Possible Barriers to Implementation and Future Opportunities
Abstract
Alexander B Stone,1 Alexander P Hughes,2 Ellen M Soffin1 1Department of Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, New York, NY, USA; 2Department of Orthopedic Surgery, Spine Institute, Hospital for Special Surgery, New York, NY, USACorrespondence: Alexander B Stone, Department of Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA, Tel +1 212-606-1000, Fax +1 617-582-6131, Email [email protected]: The frequency of shorter stay spine surgery is increasing. Acute pain is a common barrier to discharge following spine surgery. Long-acting opioid medications like methadone have the potential to provide sustained analgesia when given intraoperatively. Methadone has been effectively used in complex spine surgery, cardiac surgery, and more recently applied to ambulatory procedures. In this article, we summarize the pertinent available literature on the use of intraoperative methadone for spine surgery as well as the recent data on intraoperative methadone for ambulatory surgery. The aim of this perspectives article is to describe the potential opportunities for applying intraoperative methadone to shorter stay spine surgery as well as barriers to more widespread use. While there are currently no trials that have specifically studied methadone for shorter stay spine surgery specifically to date, it is a promising area for future research.Keywords: acute pain, spine surgery, methadone
