Journal article
THE OPIOID EPIDEMIC: POSTOPERATIVE PAIN MANAGEMENT STRATEGIES IN ORTHOPAEDICS
JBJS reviews, v 5(8), pp e14-e14
01 Aug 2017
PMID: 28857933
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Orthopaedic surgeons are currently estimated as the fourth highest opioid prescribers across all medical specialties. Preliminary research aimed at quantifying postoperative opioid utilization and prescribing patterns indicates that orthopaedic surgeons are inadvertently over-prescribing opioids in the postoperative period.
Preoperative history gathering and communication are vital to a successful postoperative pain experience. Patient education on surgical intervention, prescription opioid misuse risk factors (smoking, preoperative prescription opioid use, and so forth), and maintenance of preoperative opioid naivete can aid a patient in avoiding prescription opioid misuse.
Multimodal analgesia, in addition to a patient-centered prescription opioid regimen, is needed to address diverse pain pathways, to mitigate postoperative pain, and to minimize opioid utilization.
Use of prescription opioid universal precautions, standardized opioid taper regimens, tamper-resistant opioid formulations, and rapid cessation of opioid use in the postoperative period are strategies that can aid in monitoring and ensuring a successful and safe discontinuation of prescription opioid use following orthopaedic surgery.
Pain inherent in many orthopaedic surgical interventions, current limitations in effective analgesic treatment modalities, and growing awareness of the extensive adverse effects and nontherapeutic uses of opioids make strategies for postoperative pain control a highly complex problem that requires physicians to adopt patient and/or technique-specific approaches.
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Details
- Title
- THE OPIOID EPIDEMIC: POSTOPERATIVE PAIN MANAGEMENT STRATEGIES IN ORTHOPAEDICS
- Creators
- Joseph T. Labrum - Sidney Kimmel Cancer CenterAsif M. Ilyas - Rothman Institute
- Publication Details
- JBJS reviews, v 5(8), pp e14-e14
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 10
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000411343500014
- Scopus ID
- 2-s2.0-85032580401
- Other Identifier
- 991021838282804721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Surgery