Comprehensive Perioperative Management Considerations in Patients Taking Methadone
PURPOSE OF REVIEW: Well-informed staff can help decrease risks and common misconceptions regarding opioid-tolerant patients, especially those taking methadone.
RECENT FINDINGS: In 2015, opioid pain relievers were the second most used drug at 3.8 million. Overdose death was three times greater in 2015 than in 2000. Medication-assisted treatment was sought by more than 2 million individuals with substance use disorder, one of which is methadone. Chronic pain affects millions of adults in the USA. Opioid therapy is widely used among these adults. Related to the risk of abuse and dependence, guidelines suggest that opioid therapy may not be considered first-line treatment. A multidisciplinary approach, including thorough preoperative evaluation, the utilization of multimodal pain management strategies, and opioid-sparing techniques in both the intraoperative and postoperative periods will allow for the best possible outcome.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2019 |
---|---|
Erschienen: |
2019 |
Enthalten in: |
Zur Gesamtaufnahme - volume:23 |
---|---|
Enthalten in: |
Current pain and headache reports - 23(2019), 7 vom: 17. Juni, Seite 49 |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Cornett, Elyse M [VerfasserIn] |
---|
Links: |
---|
Themen: |
40D3SCR4GZ |
---|
Anmerkungen: |
Date Completed 02.01.2020 Date Revised 25.02.2020 published: Electronic Citation Status MEDLINE |
---|
doi: |
10.1007/s11916-019-0783-z |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM298260247 |
---|
LEADER | 01000naa a22002652 4500 | ||
---|---|---|---|
001 | NLM298260247 | ||
003 | DE-627 | ||
005 | 20231225093756.0 | ||
007 | cr uuu---uuuuu | ||
008 | 231225s2019 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.1007/s11916-019-0783-z |2 doi | |
028 | 5 | 2 | |a pubmed24n0994.xml |
035 | |a (DE-627)NLM298260247 | ||
035 | |a (NLM)31209656 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a Cornett, Elyse M |e verfasserin |4 aut | |
245 | 1 | 0 | |a Comprehensive Perioperative Management Considerations in Patients Taking Methadone |
264 | 1 | |c 2019 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Completed 02.01.2020 | ||
500 | |a Date Revised 25.02.2020 | ||
500 | |a published: Electronic | ||
500 | |a Citation Status MEDLINE | ||
520 | |a PURPOSE OF REVIEW: Well-informed staff can help decrease risks and common misconceptions regarding opioid-tolerant patients, especially those taking methadone | ||
520 | |a RECENT FINDINGS: In 2015, opioid pain relievers were the second most used drug at 3.8 million. Overdose death was three times greater in 2015 than in 2000. Medication-assisted treatment was sought by more than 2 million individuals with substance use disorder, one of which is methadone. Chronic pain affects millions of adults in the USA. Opioid therapy is widely used among these adults. Related to the risk of abuse and dependence, guidelines suggest that opioid therapy may not be considered first-line treatment. A multidisciplinary approach, including thorough preoperative evaluation, the utilization of multimodal pain management strategies, and opioid-sparing techniques in both the intraoperative and postoperative periods will allow for the best possible outcome | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Review | |
650 | 4 | |a Methadone | |
650 | 4 | |a Multimodal analgesia | |
650 | 4 | |a Opioids | |
650 | 4 | |a Pain | |
650 | 4 | |a Pain management | |
650 | 4 | |a Perioperative | |
650 | 7 | |a Analgesics, Opioid |2 NLM | |
650 | 7 | |a Buprenorphine |2 NLM | |
650 | 7 | |a 40D3SCR4GZ |2 NLM | |
650 | 7 | |a Methadone |2 NLM | |
650 | 7 | |a UC6VBE7V1Z |2 NLM | |
700 | 1 | |a Kline, Ryan J |e verfasserin |4 aut | |
700 | 1 | |a Robichaux, Spencer L |e verfasserin |4 aut | |
700 | 1 | |a Green, Jeremy B |e verfasserin |4 aut | |
700 | 1 | |a Anyama, Boris C |e verfasserin |4 aut | |
700 | 1 | |a Gennuso, Sonja A |e verfasserin |4 aut | |
700 | 1 | |a Okereke, Eva C |e verfasserin |4 aut | |
700 | 1 | |a Kaye, Alan D |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Current pain and headache reports |d 2001 |g 23(2019), 7 vom: 17. Juni, Seite 49 |w (DE-627)NLM111627923 |x 1534-3081 |7 nnns |
773 | 1 | 8 | |g volume:23 |g year:2019 |g number:7 |g day:17 |g month:06 |g pages:49 |
856 | 4 | 0 | |u http://dx.doi.org/10.1007/s11916-019-0783-z |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |d 23 |j 2019 |e 7 |b 17 |c 06 |h 49 |