Perioperative opioid analgesia—when is enough too much? A review of opioid-induced tolerance and hyperalgesia

LA Colvin, F Bull, TG Hales - The Lancet, 2019 - thelancet.com
Opioids are a mainstay of acute pain management but can have many adverse effects,
contributing to problematic long-term use. Opioid tolerance (increased dose needed for …

Inappropriate opioid prescription after surgery

MD Neuman, BT Bateman, H Wunsch - The Lancet, 2019 - thelancet.com
Worldwide, the use of prescription opioid analgesics more than doubled between 2001 and
2013, with several countries, including the USA, Canada, and Australia, experiencing …

[HTML][HTML] CDC clinical practice guideline for prescribing opioids for pain—United States, 2022

D Dowell - MMWR. Recommendations and reports, 2022 - cdc.gov
This guideline provides recommendations for clinicians providing pain care, including those
prescribing opioids, for outpatients aged≥ 18 years. It updates the CDC Guideline for …

Stigma as a fundamental hindrance to the United States opioid overdose crisis response

AC Tsai, MV Kiang, ML Barnett, L Beletsky… - PLoS …, 2019 - journals.plos.org
Stigma as a fundamental hindrance to the United States opioid overdose crisis response |
PLOS Medicine Skip to main content Advertisement PLOS Medicine Browse Current Issue …

Opioid-prescribing guidelines for common surgical procedures: an expert panel consensus

HN Overton, MN Hanna, WE Bruhn, S Hutfless… - Journal of the American …, 2018 - Elsevier
Background One in 16 surgical patients prescribed opioids becomes a long-term user.
Overprescribing opioids after surgery is common, and the lack of multidisciplinary procedure …

Postoperative pain management in the era of ERAS: an overview

GP Joshi, H Kehlet - Best Practice & Research Clinical Anaesthesiology, 2019 - Elsevier
Enhanced recovery after surgery (ERAS) programmes are increasingly becoming standard
of care for several surgical procedures. However, compliance with ERAS protocols including …

From real‐world patient data to individualized treatment effects using machine learning: current and future methods to address underlying challenges

I Bica, AM Alaa, C Lambert… - Clinical Pharmacology …, 2021 - Wiley Online Library
Clinical decision making needs to be supported by evidence that treatments are beneficial to
individual patients. Although randomized control trials (RCTs) are the gold standard for …

Perioperative intravenous ketamine for acute postoperative pain in adults

ECV Brinck, E Tiippana, M Heesen… - Cochrane Database …, 2018 - cochranelibrary.com
Background Inadequate pain management after surgery increases the risk of postoperative
complications and may predispose for chronic postsurgical pain. Perioperative ketamine …

Perioperative pain management and opioid stewardship: a practical guide

SJ Hyland, KK Brockhaus, WR Vincent, NZ Spence… - Healthcare, 2021 - mdpi.com
Surgical procedures are key drivers of pain development and opioid utilization globally.
Various organizations have generated guidance on postoperative pain management …

Trends and patterns of geographic variation in opioid prescribing practices by state, United States, 2006-2017

LZ Schieber, GP Guy, P Seth, R Young… - JAMA network …, 2019 - jamanetwork.com
Importance Risk of opioid use disorder, overdose, and death from prescription opioids
increases as dosage, duration, and use of extended-release and long-acting formulations …