TY - JOUR
T1 - Review of perioperative pain management of opioid-dependent patients
AU - Vadivelu, Nalini
AU - Mitra, Sukanya
AU - Kai, Alice M.
AU - Kodumudi, Gopal
AU - Gritsenko, Karina
N1 - Publisher Copyright:
© 2016 Journal of Opioid Management, All Rights Reserved.
PY - 2016/7/1
Y1 - 2016/7/1
N2 - Opioid dependence can occur due to prescription opioid use, recreational opioid use, or as a result of opioid use for the treatment of drug addiction. Pain control in these patients is truly a challenge. It is important to understand the patient's condition such as the phenomenon of drug dependence, drug addiction, and pseudoaddiction to provide effective analgesia. This may be accomplished using appropriate multimodal therapies and by treatment of coexisting diseases such as anxiety. The goal is to provide effective analgesia, prevent cognitive and emotional problems, and produce a positive postoperative rehabilitation process. Multimodal options include pharmacological and nonpharmacological approaches, psychological support, and interventional pain procedures, all focused toward providing optimal pain control while preventing undertreatment, withdrawal symptoms, and other complications.
AB - Opioid dependence can occur due to prescription opioid use, recreational opioid use, or as a result of opioid use for the treatment of drug addiction. Pain control in these patients is truly a challenge. It is important to understand the patient's condition such as the phenomenon of drug dependence, drug addiction, and pseudoaddiction to provide effective analgesia. This may be accomplished using appropriate multimodal therapies and by treatment of coexisting diseases such as anxiety. The goal is to provide effective analgesia, prevent cognitive and emotional problems, and produce a positive postoperative rehabilitation process. Multimodal options include pharmacological and nonpharmacological approaches, psychological support, and interventional pain procedures, all focused toward providing optimal pain control while preventing undertreatment, withdrawal symptoms, and other complications.
KW - Chronic pain
KW - Multimodal analgesia
KW - Opioid abuse
KW - Opioid dependence
KW - Prescription opioids
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U2 - 10.5055/jom.2016.0344
DO - 10.5055/jom.2016.0344
M3 - Review article
C2 - 27575830
AN - SCOPUS:84995810581
SN - 1551-7489
VL - 12
SP - 289
EP - 301
JO - Journal of opioid management
JF - Journal of opioid management
IS - 4
ER -