Papers of the Week

Multimodal analgesia is a strongly advocated approach for perioperative pain managementMultimodal analgesia has not been carefully evaluated for spine surgery WHAT THIS ARTICLE TELLS US THAT IS NEW: Adult spine surgery patients were randomized to placebo or to the combination of acetaminophen, gabapentin, ketamine, and lidocaineThe Quality of Recovery was similar in each group, as were pain scores and opioid consumption BACKGROUND:: Various multimodal analgesic approaches have been proposed for spine surgery. The authors evaluated the effect of using a combination of four nonopioid analgesics versus placebo on Quality of Recovery, postoperative opioid consumption, and pain scores.