Perioperative analgesia and the effects of dietary supplements

Andrew Abe, Alan David Kaye, Karina Gritsenko, Richard D. Urman, Adam Marc Kaye

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

With over 50,000 dietary supplements available, resurgence in consumer interest over the past few decades has resulted in an explosion of use of these agents worldwide. Disillusionment with current medications and belief in "natural medicines" has resulted in a multibillion dollar industry. Active ingredients in a number of herbs are being tested for therapeutic potential, and some are efficacious, so herbal medicines cannot be dismissed. The prevalence of herbology is further encouraged by a relatively relaxed policy of the FDA regarding these compounds, which they consider foods. As herbal products are included in the "supplement" category, there is no existing protocol for standardization of these products. There are numerous examples of herbals that can adversely affect patient recovery and outcomes in anesthesia. The prudent anesthesia provider will make sure to obtain correct information as to accurate herbal usage of each patient and attempt to discontinue these products two to three weeks prior to the delivery of an anesthetic. Postoperative analgesia, bleeding, and level of sedation can be negatively impacted related to herbal products and herbal-drug interactions. Over 90 herbal products are associated with bleeding and this can be a specific problem intraoperatively or when considering placement of a regional anesthetic for postoperative pain management.

Original languageEnglish (US)
Pages (from-to)183-189
Number of pages7
JournalBest Practice and Research: Clinical Anaesthesiology
Volume28
Issue number2
DOIs
StatePublished - 2014

Fingerprint

Dietary Supplements
Analgesia
Anesthetics
Anesthesia
Herb-Drug Interactions
Hemorrhage
Explosions
Herbal Medicine
Pain Management
Postoperative Pain
Industry
Food
Therapeutics

Keywords

  • anesthesia
  • bleeding
  • dietary supplements
  • kava kava
  • MESH index: herbals
  • over the counter agents
  • St. John's wort
  • valerian

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Perioperative analgesia and the effects of dietary supplements. / Abe, Andrew; Kaye, Alan David; Gritsenko, Karina; Urman, Richard D.; Kaye, Adam Marc.

In: Best Practice and Research: Clinical Anaesthesiology, Vol. 28, No. 2, 2014, p. 183-189.

Research output: Contribution to journalArticle

Abe, Andrew ; Kaye, Alan David ; Gritsenko, Karina ; Urman, Richard D. ; Kaye, Adam Marc. / Perioperative analgesia and the effects of dietary supplements. In: Best Practice and Research: Clinical Anaesthesiology. 2014 ; Vol. 28, No. 2. pp. 183-189.
@article{9a597475495f44aa8921c753baaa67f7,
title = "Perioperative analgesia and the effects of dietary supplements",
abstract = "With over 50,000 dietary supplements available, resurgence in consumer interest over the past few decades has resulted in an explosion of use of these agents worldwide. Disillusionment with current medications and belief in {"}natural medicines{"} has resulted in a multibillion dollar industry. Active ingredients in a number of herbs are being tested for therapeutic potential, and some are efficacious, so herbal medicines cannot be dismissed. The prevalence of herbology is further encouraged by a relatively relaxed policy of the FDA regarding these compounds, which they consider foods. As herbal products are included in the {"}supplement{"} category, there is no existing protocol for standardization of these products. There are numerous examples of herbals that can adversely affect patient recovery and outcomes in anesthesia. The prudent anesthesia provider will make sure to obtain correct information as to accurate herbal usage of each patient and attempt to discontinue these products two to three weeks prior to the delivery of an anesthetic. Postoperative analgesia, bleeding, and level of sedation can be negatively impacted related to herbal products and herbal-drug interactions. Over 90 herbal products are associated with bleeding and this can be a specific problem intraoperatively or when considering placement of a regional anesthetic for postoperative pain management.",
keywords = "anesthesia, bleeding, dietary supplements, kava kava, MESH index: herbals, over the counter agents, St. John's wort, valerian",
author = "Andrew Abe and Kaye, {Alan David} and Karina Gritsenko and Urman, {Richard D.} and Kaye, {Adam Marc}",
year = "2014",
doi = "10.1016/j.bpa.2014.04.0027",
language = "English (US)",
volume = "28",
pages = "183--189",
journal = "Best Practice and Research: Clinical Anaesthesiology",
issn = "1521-6896",
publisher = "Bailliere Tindall Ltd",
number = "2",

}

TY - JOUR

T1 - Perioperative analgesia and the effects of dietary supplements

AU - Abe, Andrew

AU - Kaye, Alan David

AU - Gritsenko, Karina

AU - Urman, Richard D.

AU - Kaye, Adam Marc

PY - 2014

Y1 - 2014

N2 - With over 50,000 dietary supplements available, resurgence in consumer interest over the past few decades has resulted in an explosion of use of these agents worldwide. Disillusionment with current medications and belief in "natural medicines" has resulted in a multibillion dollar industry. Active ingredients in a number of herbs are being tested for therapeutic potential, and some are efficacious, so herbal medicines cannot be dismissed. The prevalence of herbology is further encouraged by a relatively relaxed policy of the FDA regarding these compounds, which they consider foods. As herbal products are included in the "supplement" category, there is no existing protocol for standardization of these products. There are numerous examples of herbals that can adversely affect patient recovery and outcomes in anesthesia. The prudent anesthesia provider will make sure to obtain correct information as to accurate herbal usage of each patient and attempt to discontinue these products two to three weeks prior to the delivery of an anesthetic. Postoperative analgesia, bleeding, and level of sedation can be negatively impacted related to herbal products and herbal-drug interactions. Over 90 herbal products are associated with bleeding and this can be a specific problem intraoperatively or when considering placement of a regional anesthetic for postoperative pain management.

AB - With over 50,000 dietary supplements available, resurgence in consumer interest over the past few decades has resulted in an explosion of use of these agents worldwide. Disillusionment with current medications and belief in "natural medicines" has resulted in a multibillion dollar industry. Active ingredients in a number of herbs are being tested for therapeutic potential, and some are efficacious, so herbal medicines cannot be dismissed. The prevalence of herbology is further encouraged by a relatively relaxed policy of the FDA regarding these compounds, which they consider foods. As herbal products are included in the "supplement" category, there is no existing protocol for standardization of these products. There are numerous examples of herbals that can adversely affect patient recovery and outcomes in anesthesia. The prudent anesthesia provider will make sure to obtain correct information as to accurate herbal usage of each patient and attempt to discontinue these products two to three weeks prior to the delivery of an anesthetic. Postoperative analgesia, bleeding, and level of sedation can be negatively impacted related to herbal products and herbal-drug interactions. Over 90 herbal products are associated with bleeding and this can be a specific problem intraoperatively or when considering placement of a regional anesthetic for postoperative pain management.

KW - anesthesia

KW - bleeding

KW - dietary supplements

KW - kava kava

KW - MESH index: herbals

KW - over the counter agents

KW - St. John's wort

KW - valerian

UR - http://www.scopus.com/inward/record.url?scp=84903726687&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84903726687&partnerID=8YFLogxK

U2 - 10.1016/j.bpa.2014.04.0027

DO - 10.1016/j.bpa.2014.04.0027

M3 - Article

VL - 28

SP - 183

EP - 189

JO - Best Practice and Research: Clinical Anaesthesiology

JF - Best Practice and Research: Clinical Anaesthesiology

SN - 1521-6896

IS - 2

ER -