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Papers: 9 May 2020 - 15 May 2020

2020 May 08

Curr Pain Headache Rep



Recommendations for Managing Opioid-Tolerant Surgical Patients within Enhanced Recovery Pathways.


Stone A, Roberts A, de Boer HD, Kaye AD, Fawcett WJ, Urman RD
Curr Pain Headache Rep. 2020 May 08; 24(6):28.
PMID: 32385525.


One of the consequences of the opioid epidemic is an increase in the number of opioid-tolerant patients. These patients are at higher risk for readmission and longer hospital stays following surgery. Enhanced recovery after surgery (ERAS) pathways can be used as a framework for providing high-quality comprehensive care to patient population. It is estimated that as many as 15% of all surgery patients in the USA are receiving opioids going into surgery. The number of patients on medication maintenance therapy with long-acting opioids such as methadone or partial mu receptor agonists like buprenorphine is rising, which poses a challenge for perioperative healthcare providers.