-
Anesthesia and analgesia · Nov 2017
ReviewA Review of Opioid-Sparing Modalities in Perioperative Pain Management: Methods to Decrease Opioid Use Postoperatively.
- Kanupriya Kumar, Meghan A Kirksey, Silvia Duong, and Christopher L Wu.
- From the *Department of Anesthesiology, Hospital for Special Surgery, New York; †Herzl Family Medicine Centre, Jewish General Hospital, McGill University, Montreal, Quebec, Canada; and ‡Department of Anesthesiology and Critical Care Medicine, the Johns Hopkins Hospital, Baltimore, Maryland.
- Anesth. Analg. 2017 Nov 1; 125 (5): 1749-1760.
AbstractThere is an epidemic of opioid use, abuse, and misuse in the United States, which results in significant morbidity and mortality. It may be difficult to reduce perioperative opioid use given known acute surgical trauma and resultant pain; however, the discrete and often limited nature of postoperative pain also may make management easier in part by utilizing nonopioid modalities, such as regional anesthesia/analgesia, and multimodal analgesia, which may decrease the need for powerful opioids. This article reviews the relevant literature describing the use of adjunct medications, regional anesthesia and analgesic techniques, and regional block additives in the context of providing adequate pain control while lessening opioid use.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*,_underline_or**bold**. - Superscript can be denoted by
<sup>text</sup>and subscript<sub>text</sub>. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3., hyphens-or asterisks*. - Links can be included with:
[my link to pubmed](http://pubmed.com) - Images can be included with:
 - For footnotes use
[^1](This is a footnote.)inline. - Or use an inline reference
[^1]to refer to a longer footnote elseweher in the document[^1]: This is a long footnote..