Opioid Use in the Postoperative Arena

Global Reduction in Opioids after Surgery Through Enhanced Recovery and Gynecologic Surgery

Janelle K. Moulder, Jonathan D. Boone, Jason Buehler, Michelle Louie

Research output: Contribution to journalArticle

Abstract

Enhanced recovery programs aim to reduce surgical stress to improve the patient perioperative experience. Through a combination of multimodal analgesia and maintaining a physiological state, postoperative recovery is improved. Many analgesic adjuncts are available that improve postoperative pain control and limit opioid analgesia requirements. Adjuncts are often used in combination, but different interventions may be incorporated for patient-specific and procedure-specific needs. Postoperative pain control can be optimized by continuing nonopioid adjuncts, and prescribing opioid analgesia to address breakthrough pain. Prescribing practices should balance optimizing pain relief, minimizing the risk of chronic pain, while limiting the potential for opioid misuse.

Original languageEnglish (US)
Pages (from-to)67-86
Number of pages20
JournalClinical Obstetrics and Gynecology
Volume62
Issue number1
DOIs
StatePublished - Mar 1 2019

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Gynecologic Surgical Procedures
Analgesia
Opioid Analgesics
Postoperative Pain
Breakthrough Pain
Chronic Pain
Analgesics
Pain

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology

Cite this

Opioid Use in the Postoperative Arena : Global Reduction in Opioids after Surgery Through Enhanced Recovery and Gynecologic Surgery. / Moulder, Janelle K.; Boone, Jonathan D.; Buehler, Jason; Louie, Michelle.

In: Clinical Obstetrics and Gynecology, Vol. 62, No. 1, 01.03.2019, p. 67-86.

Research output: Contribution to journalArticle

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