• Clin Obstet Gynecol · Jun 2017

    Review

    Peripartum Anesthetic Management of the Opioid-tolerant or Buprenorphine/Suboxone-dependent Patient.

    • Aileen Pan and Mark Zakowski.
    • *Department Anesthesiology, Section of Obstetric Anesthesiology, Cedars-Sinai Medical Center †Anesthesiology, Adjunct, Charles Drew University of Medicine and Science, Los Angeles, California.
    • Clin Obstet Gynecol. 2017 Jun 1; 60 (2): 447-458.

    AbstractOpioid abuse and dependence continues to rise in both the general population and pregnancy, with opioid overdose deaths having quadrupled in the last 15 years. Illicit drug use in last 30 days of pregnancy was over 4% with almost 0.6% documented maternal opiate use at time of birth. The management of the opioid-tolerant, buprenorphine-dependent or methadone-dependent patient in the peripartum period is reviewed. Options for treatment of opioid dependence, acute pain management, and perioperative multimodal analgesia are discussed. The effects of maternal management on neonatal abstinence syndrome are also reviewed.

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