Title | A Review of Opioid-Sparing Modalities in Perioperative Pain Management: Methods to Decrease Opioid Use Postoperatively. |
Publication Type | Journal Article |
Year of Publication | 2017 |
Authors | Kumar K, Kirksey MA, Duong S, Wu CL |
Journal | Anesth Analg |
Volume | 125 |
Issue | 5 |
Pagination | 1749-1760 |
Date Published | 2017 11 |
ISSN | 1526-7598 |
Keywords | Analgesics, Non-Narcotic, Analgesics, Opioid, Drug Administration Schedule, Drug Substitution, Drug Therapy, Combination, Humans, Nerve Block, Opioid-Related Disorders, Pain Measurement, Pain, Postoperative, Perioperative Care, Prescription Drug Misuse, Risk Assessment, Risk Factors, Treatment Outcome |
Abstract | There is an epidemic of opioid use, abuse, and misuse in the United States, which results in significant morbidity and mortality. It may be difficult to reduce perioperative opioid use given known acute surgical trauma and resultant pain; however, the discrete and often limited nature of postoperative pain also may make management easier in part by utilizing nonopioid modalities, such as regional anesthesia/analgesia, and multimodal analgesia, which may decrease the need for powerful opioids. This article reviews the relevant literature describing the use of adjunct medications, regional anesthesia and analgesic techniques, and regional block additives in the context of providing adequate pain control while lessening opioid use. |
DOI | 10.1213/ANE.0000000000002497 |
Alternate Journal | Anesth. Analg. |
PubMed ID | 29049119 |
Submitted by kej2006 on June 6, 2018 - 4:13pm