• Reg Anesth Pain Med · Oct 2024

    Review

    Multiorganizational consensus to define guiding principles for perioperative pain management in patients with chronic pain, preoperative opioid tolerance, or substance use disorder.

    • David M Dickerson, Edward R Mariano, Joseph W Szokol, Michael Harned, Randall M Clark, Jeffrey T Mueller, Ashley M Shilling, Mercy A Udoji, S Bobby Mukkamala, Lisa Doan, Karla E K Wyatt, Jason M Schwalb, Nabil M Elkassabany, Jean D Eloy, Stacy L Beck, Lisa Wiechmann, Franklin Chiao, Steven G Halle, Deepak G Krishnan, John D Cramer, Wael Ali Sakr Esa, Iyabo O Muse, Jaime Baratta, Richard Rosenquist, Padma Gulur, Shalini Shah, Lynn Kohan, Jennifer Robles, Eric S Schwenk, AllenBrian F SBFSDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA., Stephen Yang, Josef G Hadeed, Gary Schwartz, Michael J Englesbe, Michael Sprintz, Kenneth L Urish, Ashley Walton, Lauren Keith, and Asokumar Buvanendran.
    • Department of Anesthesiology, Critical Care and Pain Medicine, NorthShore University HealthSystem, Evanston, Illinois, USA ddickerson@northshore.org.
    • Reg Anesth Pain Med. 2024 Oct 8; 49 (10): 716724716-724.

    AbstractSignificant knowledge gaps exist in the perioperative pain management of patients with a history of chronic pain, substance use disorder, and/or opioid tolerance as highlighted in the US Health and Human Services Pain Management Best Practices Inter-Agency Task Force 2019 report. The report emphasized the challenges of caring for these populations and the need for multidisciplinary care and a comprehensive approach. Such care requires stakeholder alignment across multiple specialties and care settings. With the intention of codifying this alignment into a reliable and efficient processes, a consortium of 15 professional healthcare societies was convened in a year-long modified Delphi consensus process and summit. This process produced seven guiding principles for the perioperative care of patients with chronic pain, substance use disorder, and/or preoperative opioid tolerance. These principles provide a framework and direction for future improvement in the optimization and care of 'complex' patients as they undergo surgical procedures.© American Society of Regional Anesthesia & Pain Medicine 2024. No commercial re-use. See rights and permissions. Published by BMJ.

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