• J Gen Intern Med · Aug 2021

    Case Reports

    Advanced Inpatient Management of Opioid Use Disorder in a Patient Requiring Serial Surgeries.

    • Parisa Mortaji, Dale Terasaki, and Jaime Moo-Young.
    • Department of Internal Medicine, University of Colorado School of Medicine, Aurora, CO, USA. Parisa.mortaji@cuanschutz.edu.
    • J Gen Intern Med. 2021 Aug 1; 36 (8): 2448-2451.

    AbstractOpioid use disorder has affected many lives across the US. Medications for opioid use disorder (MOUD), including buprenorphine, have been shown to decrease mortality in this patient population. Here we present a case of a 32-year-old woman on buprenorphine/naloxone undergoing multiple surgical operations, whose course included buprenorphine discontinuation, methadone initiation, and buprenorphine re-induction using a novel "microdosing" approach. This report includes a presentation of the case and a discussion of the clinical decision making and relevant literature to give hospitalbased providers a perspective on management of peri-operative patients on MOUD.© 2021. Society of General Internal Medicine.

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