Perioperative Pain Management in Patients on Opioid Replacement Therapy: An Integrative Review

2.50
Hdl Handle:
http://hdl.handle.net/10755/621598
Category:
Full-text
Format:
Text-based Document
Type:
Other Graduate Paper
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Perioperative Pain Management in Patients on Opioid Replacement Therapy: An Integrative Review
Author(s):
Boer, Meghan
Additional Author Information:
Meghan Boer, DNAP, CRNA
Advisors:
Hadenfeldt, Sharon
Degree:
Doctoral – Other
Degree Year:
2017
Grantor:
Bryan College of Health Sciences
Abstract:

Despite the lack of compelling evidence to support long-term efficacy in the treatment of opioid abuse, opioids are one of the most common classes of medications prescribed in the United States. As such, the significant increase in prescription and illicit opioid abuse since the nineties has led to a surge in patients recovering from addiction and now maintained on opioid replacement therapy (ORT). Due to this rapid growth in ORT, there has been a strong interest in utilization of opioid agonists such as methadone, and partial agonists such as buprenorphine, which have been increasingly utilized to treat severe chronic pain and to prevent withdrawal symptoms in those who have an addiction to opiates. The growth of this patient population has presented anesthesia providers with a challenge. Specifically, these medications interfere with the usual effect of opioids anesthesia providers use to deliver anesthesia and treat acute pain. Understanding the pharmacodynamics of the individual ORT medications prescribed is critical in terms of using the best practices to control pain in the perioperative setting. Additionally, it is imperative to communicate with all members of the healthcare team and to have a plan for managing acute perioperative pain.

Keywords:
Opioid Use Disorder; opioid replacement therapy; Pain therapy; anesthesia; Analgesics
CINAHL Headings:
Perioperative Care; Perioperative Care--Methods; Substance Use Disorders; Substance Use Disorders--Therapy; Analgesics, Opioid; Pain Management; Pain Management--Methods
Repository Posting Date:
2017-06-26T19:55:44Z
Date of Publication:
2017-06-26

Full metadata record

DC FieldValue Language
dc.contributor.advisorHadenfeldt, Sharonen
dc.contributor.authorBoer, Meghanen
dc.date.accessioned2017-06-26T19:55:44Z-
dc.date.available2017-06-26T19:55:44Z-
dc.date.issued2017-06-26-
dc.identifier.urihttp://hdl.handle.net/10755/621598-
dc.description.abstract<p>Despite the lack of compelling evidence to support long-term efficacy in the treatment of opioid abuse, opioids are one of the most common classes of medications prescribed in the United States. As such, the significant increase in prescription and illicit opioid abuse since the nineties has led to a surge in patients recovering from addiction and now maintained on opioid replacement therapy (ORT). Due to this rapid growth in ORT, there has been a strong interest in utilization of opioid agonists such as methadone, and partial agonists such as buprenorphine, which have been increasingly utilized to treat severe chronic pain and to prevent withdrawal symptoms in those who have an addiction to opiates. The growth of this patient population has presented anesthesia providers with a challenge. Specifically, these medications interfere with the usual effect of opioids anesthesia providers use to deliver anesthesia and treat acute pain. Understanding the pharmacodynamics of the individual ORT medications prescribed is critical in terms of using the best practices to control pain in the perioperative setting. Additionally, it is imperative to communicate with all members of the healthcare team and to have a plan for managing acute perioperative pain.</p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectOpioid Use Disorderen
dc.subjectopioid replacement therapyen
dc.subjectPain therapyen
dc.subjectanesthesiaen
dc.subjectAnalgesicsen
dc.titlePerioperative Pain Management in Patients on Opioid Replacement Therapy: An Integrative Reviewen_US
dc.typeOther Graduate Paperen
thesis.degree.grantorBryan College of Health Sciencesen
thesis.degree.levelDoctoral – Otheren
dc.primary-author.detailsMeghan Boer, DNAP, CRNAen
thesis.degree.year2017en
dc.type.categoryFull-texten
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.subject.cinahlPerioperative Careen
dc.subject.cinahlPerioperative Care--Methodsen
dc.subject.cinahlSubstance Use Disordersen
dc.subject.cinahlSubstance Use Disorders--Therapyen
dc.subject.cinahlAnalgesics, Opioiden
dc.subject.cinahlPain Managementen
dc.subject.cinahlPain Management--Methodsen
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