Perioperative use of opioids: Current controversies and

Best Pract Res Clin Anaesthesiol · Sep 2019

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Perioperative use of opioids: Current controversies and concerns.

In the midst of an epidemic of opioid abuse and overdose-related morbidity and mortality, the use of opioids remains the most common means of providing analgesia in the perioperative period. In this article, we review the risks and benefits of opioid use in preoperative, intraoperative and post-operative phases of care. Furthermore, we describe the role that surgeons and anaesthesiologists can play in reducing perioperative opioid use and mitigate their adverse effects, from both an individual and a population health perspective.

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- John C Alexander, Biral Patel, and Girish P Joshi.
- University of Texas Southwestern Medical Center, Dallas, TX, USA. Electronic address: john.alexander@utsouthwestern.edu.
- Best Pract Res Clin Anaesthesiol. 2019 Sep 1; 33 (3): 341-351.
AbstractIn the midst of an epidemic of opioid abuse and overdose-related morbidity and mortality, the use of opioids remains the most common means of providing analgesia in the perioperative period. In this article, we review the risks and benefits of opioid use in preoperative, intraoperative and post-operative phases of care. Furthermore, we describe the role that surgeons and anaesthesiologists can play in reducing perioperative opioid use and mitigate their adverse effects, from both an individual and a population health perspective.Copyright © 2019 Elsevier Ltd. All rights reserved.

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