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Perioperative Pain Management in the Chronic Opioid User

Sasek, Cody, MPAS, PA‐C, ATC1

JBJS Journal of Orthopaedics for Physician Assistants: October 2016 - Volume 4 - Issue 4 - p 25-31
doi: 10.2106/JBJS.JOPA.16.00020

Abstract: Perioperative pain management for patients who chronically consume opioids must be managed carefully to provide optimal pain control while avoiding negative outcomes. This review examines current pain management options in the perioperative period, including patient education and treatment planning; pharmacologic management with opioid pain medications; management with non‐opioids, including acetaminophen, nonsteroidal antiinflammatory drugs, N‐methyl‐D‐aspartate (NMDA) receptor antagonists, alpha‐adrenergic agonists, anxiolytics, and psychiatric medications; and use of local and regional anesthesia techniques.

1University of Missouri‐Kansas City, Kansas City, Missouri Investigation performed at the University of Missouri‐Kansas City, Kansas City, Missouri

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