| Autor: |
Thomas Hickey, Gregory Acampora, Caroline G Falker, Audrey Abelleira, Mitchell Nazario, William C. Becker, Melissa B. Weimer |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Medical Clinics of North America. 106:169-185 |
| ISSN: |
0025-7125 |
| DOI: |
10.1016/j.mcna.2021.09.001 |
| Popis: |
Buprenorphine formulations (including buprenorphine/naloxone) are effective treatments of pain and opioid use disorder (OUD). Historically, perioperative management of patients prescribed buprenorphine involved abstinence from buprenorphine sufficient to allow for unrestricted mu-opioid receptor availability to full agonist opioid (FAO) treatment. Evidence is mounting that a multimodal analgesic strategy, including simultaneous administration of buprenorphine and FAO, nonopioid adjuncts such as acetaminophen and nonsteroidal anti-inflammatory drugs, and regional anesthesia, is a safe and effective perioperative strategy for the patient prescribed long-term buprenorphine treatment of OUD. This strategy will likely simplify management and more seamlessly provide continuous buprenorphine treatment of OUD after hospital discharge. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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