TY - JOUR
T1 - Perioperative use of opioids
T2 - Current controversies and concerns
AU - Alexander, John C.
AU - Patel, Biral
AU - Joshi, Girish P.
PY - 2019/9
Y1 - 2019/9
N2 - 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 perioperative period. In this article, we review the risks and benefits of opioid use in preoperative, intraoperative and post-operative phases of care. Furthermore, we describe the role that surgeons and anaesthesiologists can play in reducing perioperative opioid use and mitigate their adverse effects, from both an individual and a population health perspective.
AB - 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 perioperative period. In this article, we review the risks and benefits of opioid use in preoperative, intraoperative and post-operative phases of care. Furthermore, we describe the role that surgeons and anaesthesiologists can play in reducing perioperative opioid use and mitigate their adverse effects, from both an individual and a population health perspective.
KW - intraoperative period
KW - opioid-related adverse events
KW - opioids
KW - pain management
UR - http://www.scopus.com/inward/record.url?scp=85070544364&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85070544364&partnerID=8YFLogxK
U2 - 10.1016/j.bpa.2019.07.009
DO - 10.1016/j.bpa.2019.07.009
M3 - Review article
C2 - 31785719
AN - SCOPUS:85070544364
SN - 1521-6896
VL - 33
SP - 341
EP - 351
JO - Best Practice and Research: Clinical Anaesthesiology
JF - Best Practice and Research: Clinical Anaesthesiology
IS - 3
ER -