Review of perioperative pain management of opioid-dependent patients

Nalini Vadivelu, Sukanya Mitra, Alice M. Kai, Gopal Kodumudi, Karina Gritsenko

Research output: Contribution to journalReview article

6 Scopus citations

Abstract

Opioid dependence can occur due to prescription opioid use, recreational opioid use, or as a result of opioid use for the treatment of drug addiction. Pain control in these patients is truly a challenge. It is important to understand the patient's condition such as the phenomenon of drug dependence, drug addiction, and pseudoaddiction to provide effective analgesia. This may be accomplished using appropriate multimodal therapies and by treatment of coexisting diseases such as anxiety. The goal is to provide effective analgesia, prevent cognitive and emotional problems, and produce a positive postoperative rehabilitation process. Multimodal options include pharmacological and nonpharmacological approaches, psychological support, and interventional pain procedures, all focused toward providing optimal pain control while preventing undertreatment, withdrawal symptoms, and other complications.

Original languageEnglish (US)
Pages (from-to)289-301
Number of pages13
JournalJournal of opioid management
Volume12
Issue number4
DOIs
StatePublished - Jul 1 2016

Keywords

  • Chronic pain
  • Multimodal analgesia
  • Opioid abuse
  • Opioid dependence
  • Prescription opioids

ASJC Scopus subject areas

  • Pharmacology (medical)
  • Anesthesiology and Pain Medicine

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