Evidence map›Paper›PMID 40240893›Full record

ArticleJournal of medical case reports2025

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

Irwan Setiadi, Muhammad Rezanda Alifahna, Radian Ahmad Halimi, Dewi Yulianti Bisri

Abstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Irwan SetiadiDepartment of Anaesthesiology and Intensive Therapy, Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Pasteur Street 38, Bandung, West Java, 40161, Indonesia.
Muhammad Rezanda AlifahnaDepartment of Anaesthesiology and Intensive Therapy, Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Pasteur Street 38, Bandung, West Java, 40161, Indonesia. muhammadrezanda@gmail.com.ORCID http://orcid.org/0009-0001-2155-3208
Radian Ahmad HalimiDepartment of Anaesthesiology and Intensive Therapy, Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Pasteur Street 38, Bandung, West Java, 40161, Indonesia.
Dewi Yulianti BisriDepartment of Anaesthesiology and Intensive Therapy, Faculty of Medicine, Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Pasteur Street 38, Bandung, West Java, 40161, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnhanced 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. PATIENT PRESENTATION: 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.

conclusionRegional 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.

Indexed as

Analgesics, OpioidAnesthesia, ConductionEnhanced Recovery After SurgeryIntervertebral Disc DegenerationLaminectomyLow Back PainLumbar VertebraePostoperative PainFemaleHumansMaleMiddle AgedAnalgesics, OpioidAnesthesiaCase seriesERASRegional anesthesiaSpinal surgery

Identifiers

PMID40240893
PMCPMC12004740

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.