Perioperative Opioid Administration: A Critical Review of Opioid-free versus Opioid-sparing Approaches

H Shanthanna, KS Ladha, H Kehlet, GP Joshi - Anesthesiology, 2021 - pubs.asahq.org
Opioids form an important component of general anesthesia and perioperative analgesia.
Discharge opioid prescriptions are identified as a contributor for persistent opioid use and …

Current issues in the use of opioids for the management of postoperative pain: a review

PE Macintyre, J Quinlan, N Levy, DN Lobo - JAMA surgery, 2022 - jamanetwork.com
Importance Uncontrolled and indiscriminate prescribing of opioids has led to an opioid crisis
that started in North America and spread throughout high-income countries. The aim of this …

[HTML][HTML] The benefits of opioid free anesthesia and the precautions necessary when employing it

C Bohringer, C Astorga, H Liu - Translational perioperative and …, 2020 - ncbi.nlm.nih.gov
The use of opioids in the perioperative period is associated with respiratory depression,
impaired gastrointestinal function, post-operative nausea and vomiting (PONV), pruritus …

American Society for Enhanced Recovery and Perioperative Quality Initiative joint consensus statement on perioperative management of patients on preoperative …

DA Edwards, TL Hedrick, J Jayaram… - Anesthesia & …, 2019 - journals.lww.com
Enhanced recovery pathways have quickly become part of the standard of care for patients
undergoing elective surgery, especially in North America and Europe. One of the central …

American society for enhanced recovery and perioperative quality initiative joint consensus statement on perioperative opioid minimization in opioid-naïve patients

CL Wu, AB King, TM Geiger, MC Grant… - Anesthesia & …, 2019 - journals.lww.com
Surgical care episodes place opioid-naïve patients at risk for transitioning to new persistent
postoperative opioid use. With one of the central principles being the application of …

Perioperative use of opioids: current controversies and concerns

JC Alexander, B Patel, GP Joshi - Best Practice & Research Clinical …, 2019 - Elsevier
In the midst of an epidemic of opioid abuse and overdose-related morbidity and mortality,
the use of opioids remains the most common means of providing analgesia in the …

[HTML][HTML] Are opioids indispensable for general anaesthesia?

TD Egan - British journal of anaesthesia, 2019 - Elsevier
The drug-induced, reversible coma of anaesthesia requires three clinical outcomes:
unconsciousness, immobility, and the control of autonomic nervous system (ANS) responses …

The economic impact of opioids on postoperative pain management

BK Philip, PR Reese, SP Burch - Journal of clinical anesthesia, 2002 - Elsevier
Study Objective: To evaluate the consequences of opioid use for postoperative pain
management and the degree to which these consequences may be reduced or minimized …

Chronic opioid use after surgery: implications for perioperative management in the face of the opioid epidemic

JM Hah, BT Bateman, J Ratliff, C Curtin… - Anesthesia & …, 2017 - journals.lww.com
Physicians, policymakers, and researchers are increasingly focused on finding ways to
decrease opioid use and overdose in the United States both of which have sharply …

[HTML][HTML] Preventing opioid prescription after major surgery: a scoping review of opioid-free analgesia

JF Fiore Jr, G Olleik, C El-Kefraoui, B Verdolin… - British journal of …, 2019 - Elsevier
Background Excessive opioid prescribing after surgery has been recognised as a
contributor to the current crisis of opioid addiction and overdose. Clinicians may potentially …