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Opioid Abuse and Perioperative Care: a New Medical Disease by Daryl S. Henshaw; James D. Turner; Ashish K. Khanna is a Medicine article available to read on EtoBox.

What is Opioid Abuse and Perioperative Care: a New Medical Disease about?

## Purpose of review This review article aims to describe the perioperative clinical implications of opioid use or opioid use disorder (OUD) and to provide recommendations related to analgesia, anesthesia, and postoperative care for patients with this ’new medical disease’. ## Recent findings Evidence suggest that 1 in 4 surgical patients will be using opioids preoperatively. Management of these patients, or those with OUD, can be challenging given their opioid tolerance, hyperalgesia, decreased pain tolerance, and increased pain sensitivity. Therefore, an individualized plan that considers how to manage OUD treatment medications, the risk of relapse, multimodal analgesia, and postoperative monitoring requirements is highly important. Fortunately, recent publications provide both insight and guidance on these topics. Postoperatively, persistent opioid utilization appears higher in patients currently using opioids and even for those with a prior history. Although numerous other adverse outcomes are also associated with opioid use or abuse, some may be modifiable with cessation. ## Summary A coordinated, evidence-based, multidisciplinary team approach is critical when caring for pati

Who reads Opioid Abuse and Perioperative Care: a New Medical Disease?

Author

Daryl S. Henshaw; James D. Turner; Ashish K. Khanna

Publisher

Ovid Technologies (Wolters Kluwer Health)

Published

2022

Language

EN

Field

Medicine (Health Sciences)