Rational perioperative opioid management in the era of the opioid crisis

ED Kharasch, MJ Avram, JD Clark - Anesthesiology, 2020 - pubs.asahq.org
Despite the thousands of years during which opioids have been used medicinally, the
appropriate indications and usage for opioids, across medicine, remain incompletely …

Opioid-free anesthesia opioid side effects: tolerance and hyperalgesia

P Lavand'homme, A Steyaert - Best practice & research Clinical …, 2017 - Elsevier
Opioids are the most potent drugs used to control severe pain. However, neuroadaptation
prevents opioids' ability to provide long-term analgesia and produces opposite effects, ie …

Role of active metabolites in the use of opioids

JK Coller, LL Christrup, AA Somogyi - European journal of clinical …, 2009 - Springer
The opioid class of drugs, a large group, is mainly used for the treatment of acute and
chronic persistent pain. All are eliminated from the body via metabolism involving principally …

Improving pain management: are we jumping from the frying pan into the fire?

PF White, H Kehlet - Anesthesia & Analgesia, 2007 - journals.lww.com
The review article by Brennan, Carr, and Cousins (1) is a laudable effort to discuss the
ethical, political, cultural, and legal challenges involved in trying to improve the management …

Opioids in preclinical and clinical trials

H Nagase, H Fujii - Chemistry of Opioids, 2011 - Springer
Since 1952, when Gates determined the stereo structure of morphine, numerous groups
have focused on discovering a nonnarcotic opioid drug [1]. Although several natural …

Opioid-sparing effects of a low-dose infusion of naloxone in patient-administered morphine sulfate

TJ Gan, B Ginsberg, PSA Glass, J Fortney… - The Journal of the …, 1997 - pubs.asahq.org
Background A naloxone infusion is effective in reducing epidural and intrathecal opioid-
related side effects. The use of naloxone infusion concomitant with intravenous morphine …

Comparison of potency and duration of action of nalmefene and naloxone

PSA Glass, RM Jhaveri, LR Smith - Anesthesia & Analgesia, 1994 - journals.lww.com
Nalmefene, a pure opiate antagonist structurally similar to naloxone, possesses a longer
duration of action than naloxone at the same dose. However, the relative potency of these …

Does multimodal analgesia with acetaminophen, nonsteroidal antiinflammatory drugs, or selective cyclooxygenase-2 inhibitors and patient-controlled analgesia …

N Elia, C Lysakowski, MR Tramer - The Journal of the American …, 2005 - pubs.asahq.org
The authors analyzed data from 52 randomized placebo-controlled trials (4,893 adults)
testing acetaminophen, nonsteroidal antiinflammatory drugs, or selective cyclooxygenase-2 …

[HTML][HTML] Perioperative opioids: a narrative review contextualising new avenues to improve prescribing

TJ Adams, DM Aljohani, P Forget - British Journal of Anaesthesia, 2023 - Elsevier
Opioids have dominated the management of perioperative pain in recent decades with
higher doses than ever before used in some circumstances. Through the expanding use of …

Potentiation of the analgesic properties of fentanyl-like opioids with alpha 2-adrenoceptor agonists in rats.

TF Meert, M De Kock - Anesthesiology, 1994 - europepmc.org
Background Data on the analgesic properties of alpha 2 agonists and their interactions with
opioids are conflicting. Experiments were conducted in rats to evaluate whether various …