Related Experiment Video
Updated: May 7, 2026
09:43
Functional and Morphological Assessment of Diaphragm Innervation by Phrenic Motor Neurons
Published on: May 25, 2015
17.3K
Anesthesia for opioid addict: Challenges for perioperative physician
Rohit Goyal1, Gurjeet Khurana, Parul Jindal
1Department of Anaesthesiology, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India.
Journal of Anaesthesiology, Clinical Pharmacology
|October 10, 2013
Summary
Globally rising opioid addiction presents unique challenges for surgeons and anesthesiologists. This case highlights perioperative management of a pentazocine-dependent patient undergoing surgical debridement and grafting.
Area of Science:
- Anesthesiology
- Addiction Medicine
- Surgical Case Reports
Background:
- Opioid addiction is a growing global health concern.
- Patients with opioid use disorder present complex challenges for perioperative management.
- Pentazocine, an opioid analgesic, can lead to addiction and complicate surgical care.
Observation:
- A patient with pentazocine addiction required debridement and grafting for eschars and old scars.
- The patient underwent initial medical management for opioid addiction.
- Anesthesia was planned following the addiction management phase.
Findings:
- Perioperative management of opioid-addicted patients requires careful planning and multidisciplinary approach.
- Anesthetic considerations are crucial to ensure patient safety and optimize surgical outcomes.
- Successful management involves addressing both the addiction and the surgical condition.
Implications:
- This case underscores the need for specialized protocols for managing opioid-addicted patients in surgical settings.
- Improved understanding of perioperative challenges can enhance patient care and reduce complications.
- Further research into anesthetic techniques and addiction management strategies is warranted.
More Related Videos
05:39Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
2.8K
12:20Use of the Operant Orofacial Pain Assessment Device OPAD to Measure Changes in Nociceptive Behavior
Published on: June 10, 2013
24.2K
Related Concept Videos
01:15Opioid Analgesics: Synthetic and Semisynthetic Opioids
1.6K
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
1.6K
01:25Analgesia and Pain Management
3.4K
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
3.4K
01:20Opioid Analgesics: Morphine and Other Natural Cogeners
1.7K
Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
1.7K
01:24Parenteral Anesthetics: Overview
1.1K
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
1.1K
01:22Stages of General Anesthesia
2.6K
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
2.6K
01:24General Anesthesia: Overview
1.1K
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
1.1K