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Papers of the Week


Papers: 30 Nov 2024 - 6 Dec 2024


2024 Nov 28


Br J Anaesth


39613528

Nonsteroidal anti-inflammatory drugs in the perioperative period: current controversies and concerns.

Authors

Joshi GP, Kehlet H, Lobo DN

Abstract

Nonsteroidal anti-inflammatory drugs (NSAIDs) and cyclooxygenase (COX)-2-specific inhibitors provide significant analgesic and opioid-sparing benefits. However, these analgesics are commonly avoided owing to concerns of potential adverse effects. The evidence for NSAID-related adverse effects is conflicting and of poor quality, and these analgesics are safer than what has been implied. Thus, it is imperative that NSAIDs or COX-2-specific inhibitors are administered routinely unless there are well-founded contraindications.