• Br J Anaesth · Nov 2022

    Editorial Comment

    Cardiac surgery's long opioid dependency: time to recalibrate pain therapy?

    • Lisa Q Rong, Liang Shen, and Karsten Bartels.
    • Department of Anesthesiology, Weill Cornell Medicine, New York, NY, USA. Electronic address: lir9065@med.cornell.edu.
    • Br J Anaesth. 2022 Nov 1; 129 (5): 655-658.

    AbstractOpioid analgesia is the cornerstone of anaesthetic management during cardiac surgery. However, a subset of patients use opioids persistently after three months of surgery. We discuss a recent meta-analysis and systematic review by Liu and colleagues describing both patient and peri-procedural risk factors that contribute to this phenomenon in the context of chronic pain after cardiac surgery. Anaesthetists for cardiac surgery should consider opioid alternatives and individual patient risk factors to optimise recovery and pain control.Copyright © 2022 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.

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