Pain after spine surgery (postoperative pain)is an acute pain that begins with the surgical incision and gradually decreases with the healing of the tissue. It is especially severe in the first 48 hours and gradually decreases within 3-4 days. In the postoperative period, many physiological responses involving various systems develop with acute pain, and this negatively affects the activity of many organ systems and disrupts their functions. As a result, patients face additional problems during this period, causing a prolongation of the recovery process in the postoperative period and worsening patient comfort and quality of life. Successful postoperative analgesia is the patient's pain due to; It is a known fact that it prevents many of the effects such as inability to breathe easily, increased workload on the cardiovascular system, development of thromboembolic events due to delayed mobilization, activation of the neuroendocrine and sympathetic nervous systems and increased stress response. It also provides benefits such as reducing hospital stay and cost, and preventing the development of chronic pain.
The patient can be in a good position in the postoperative period; It is possible to provide detailed information about the pain control method to be applied after the surgery, to prepare well for the surgery physically and emotionally, to ensure that anesthesia and surgery are reliable, to have minimal physical and emotional trauma, and to ensure that the patient recovers as quickly as possible and can return to his normal life. Each patient's response to pain is different. Personality structure and past experiences play an important role in the response to pain. For this reason, each patient must be considered and evaluated individually.
Today, it is possible to provide successful postoperative analgesia by choosing the appropriate method, agent, dose and dose range. Multimodal analgesia method, which combines different analgesics acting through different mechanisms such as paracetamol from the non-opioid group, tramadol from the opioid group and gabapentin from the adjuvant group, is an important method in the treatment of postoperative pain in which more than one mechanism plays a role. By using these analgesics together, effective analgesia is provided while fewer side effects occur. The most common application method of these analgesics is“Patient controlled analgesia”. i” (HKA) method. Postoperative analgesic requirement; It is reported that this method, which is based on the patient's self-administration of analgesia through an infusion pump, is more effective than classical methods, as it varies according to age, source of pain, and the person's experience. The PCA method is a method in which patients decide when and how much analgesic they will use, and in a sense, the patient is responsible for his/her own pain control. The PCA method is commonly used with intravenous ( It is administered via IV) route.
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