Perioperative Opioid Administration: A Critical Review of Opioid-free versus Opioid-sparing Approaches

H Shanthanna, KS Ladha, H Kehlet, GP Joshi - Anesthesiology, 2021 - pubs.asahq.org
Opioids form an important component of general anesthesia and perioperative analgesia.
Discharge opioid prescriptions are identified as a contributor for persistent opioid use and …

Opioid versus opioid-free analgesia after surgical discharge: a systematic review and meta-analysis of randomised trials

JF Fiore, C El-Kefraoui, MA Chay, P Nguyen-Powanda… - The Lancet, 2022 - thelancet.com
Background Excessive opioid prescribing after surgery has contributed to the current opioid
crisis; however, the value of prescribing opioids at surgical discharge remains uncertain. We …

Postoperative pain management in enhanced recovery pathways

CK Cheung, JO Adeola, SS Beutler… - Journal of Pain …, 2022 - Taylor & Francis
Postoperative pain is a common but often inadequately treated condition. Enhanced
recovery pathways (ERPs) are increasingly being utilized to standardize perioperative care …

Interscalene Brachial Plexus Block with Liposomal Bupivacaine versus Standard Bupivacaine with Perineural Dexamethasone: A Noninferiority Trial

DH Kim, J Liu, JC Beathe, Y Lin, DS Wetmore… - …, 2022 - pubs.asahq.org
Background The interscalene nerve block provides analgesia for shoulder surgery. To
extend block duration, provide adequate analgesia, and minimize opioid consumption, the …

[HTML][HTML] Same day discharge following elective, minimally invasive, colorectal surgery: a review of enhanced recovery protocols and early outcomes by the SAGES …

EC McLemore, L Lee, TL Hedrick, L Rashidi… - Surgical …, 2022 - Springer
Background As enhanced recovery programs (ERPs) have continued to evolve, the length of
hospitalization (LOS) following elective minimally invasive colorectal surgery has continued …

[HTML][HTML] Opioid-free anesthesia in oncologic surgery: the rules of the game

A De Cassai, F Geraldini, S Tulgar… - Journal of Anesthesia …, 2022 - Springer
Background Opioids are frequently used in the postoperative period due to their analgesic
properties. While these drugs reduce nociceptive somatic, visceral, and neuropathic pain …

Intraoperative pharmacologic opioid minimisation strategies and patient-centred outcomes after surgery: a scoping review protocol

M Verret, NH Lam, DA Fergusson, SG Nicholls… - BMJ open, 2023 - bmjopen.bmj.com
Introduction For close to a century opioid administration has been a standard of care to
complement anaesthesia during surgery. Considering the worldwide opioid epidemic, this …

[HTML][HTML] Opioid-sparing analgesia impacts the perioperative anesthetic management in major abdominal surgery

M Jipa, S Isac, A Klimko, M Simion-Cotorogea… - Medicina, 2022 - mdpi.com
Background and Objectives: The management of acute postoperative pain (APP) following
major abdominal surgery implies various analgetic strategies. Opioids lie at the core of every …

STING-IFN-I pathway relieves incision induced acute postoperative pain via inhibiting the neuroinflammation in dorsal root ganglion of rats

L Ma, D Deng, T Zhang, W Zhao, C Liu, S Huang… - Inflammation …, 2023 - Springer
Background The purpose of this study was to study the effect of STING-IFN-I pathway on
incision induced postoperative pain in rats and its possible mechanisms. Methods The pain …

Feasibility of prospectively comparing opioid analgesia with opioid-free analgesia after outpatient general surgery: a pilot randomized clinical trial

U Do, C El-Kefraoui, M Pook, S Balvardi… - JAMA Network …, 2022 - jamanetwork.com
Importance The overprescription of opioids to surgical patients is recognized as an important
factor contributing to the opioid crisis. However, the value of prescribing opioid analgesia …