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 …

Rate and risk factors associated with prolonged opioid use after surgery: a systematic review and meta-analysis

OD Lawal, J Gold, A Murthy, R Ruchi, E Bavry… - JAMA network …, 2020 - jamanetwork.com
Importance Prolonged opioid use after surgery may be associated with opioid dependency
and increased health care use. However, published studies have reported varying estimates …

Perioperative pain management and opioid stewardship: a practical guide

SJ Hyland, KK Brockhaus, WR Vincent, NZ Spence… - Healthcare, 2021 - mdpi.com
Surgical procedures are key drivers of pain development and opioid utilization globally.
Various organizations have generated guidance on postoperative pain management …

Opioids after surgery in the United States versus the rest of the world: the International Patterns of Opioid Prescribing (iPOP) multicenter study

HMA Kaafarani, K Han, M El Moheb… - Annals of …, 2020 - journals.lww.com
Objective: The International Patterns of Opioid Prescribing study compares postoperative
opioid prescribing patterns in the United States (US) versus the rest of the world. Summary …

Persistent postoperative opioid use: a systematic literature search of definitions and population-based cohort study

NK Jivraj, F Raghavji, J Bethell, DN Wijeysundera… - …, 2020 - pubs.asahq.org
Background While persistent opioid use after surgery has been the subject of a large
number of studies, it is unknown how much variability in the definition of persistent use …

Is Europe facing an emerging opioid crisis comparable to the US?

J Van Amsterdam, M Pierce… - Therapeutic drug …, 2021 - journals.lww.com
In the US, an opioid overdose crisis has emerged, attributable to over-prescription of opioid
analgesics, driven by aggressive marketing by pharmaceutical companies, followed by …

Nonopioid, multimodal analgesia as first-line therapy after otolaryngology operations: primer on nonsteroidal anti-inflammatory drugs (NSAIDs)

JD Cramer, ML Barnett, S Anne… - … –Head and Neck …, 2021 - journals.sagepub.com
Objective To offer pragmatic, evidence-informed advice on nonsteroidal anti-inflammatory
drugs (NSAIDs) as first-line therapy after surgery. This companion to the American Academy …

Postoperative multimodal analgesia in cardiac surgery

LF Barr, MJ Boss, MA Mazzeffi, BS Taylor… - Critical care …, 2020 - criticalcare.theclinics.com
Cardiac surgery is associated with significant postoperative pain, which complicates
recovery. The unique aspects of cardiac surgical pain include multiple sites of pain, initial …

Are NSAIDs safe? Assessing the risk-benefit profile of nonsteroidal anti-inflammatory drug use in postoperative pain management

RW Chang, DM Tompkins… - The American …, 2021 - journals.sagepub.com
In this article, we review controversies in assessing the risk of serious adverse effects
caused by administration of nonsteroidal anti-inflammatory drugs (NSAIDs). Our focus is …